FORM 1023-EZ for NORTH FLORIDA YOUTH SOCCER LEAGUE INC

Field Data
EIN 26-4134285
Case Number EO-2016362-000361
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH FLORIDA YOUTH SOCCER LEAGUE INC
Organization’s Mailing Address 10950-60 SAN JOSE BLVD PMB 295
City JACKSONVILLE
State FL
ZIP 32223
Accounting period End 12
Primary contact name MICHAEL OSBORNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL OSBORNE
TREASURER
10950-60 SAN JOSE BLVD PMB 295
JACKSONVILLE FL 32223

Officer/Director/Trustee Two

TREVOR WATERS
SECRETARY
7374 SR 21
KEYSTONE HTS FL 32656

Officer/Director/Trustee Three

ALICE SMITH
DIRECTOR
4953 FERRELL LN
JACKSONVILLE FL 32223

Officer/Director/Trustee Four

GRANT MERRILL
DIRECTOR
1021 PENMAN RD
NEPTUNE BEACH FL 32266

Officer/Director/Trustee Five

MICHAEL GOODMAN
COMMISSIONER
96400 PARLIAMENT DR
FERNANDINA BCH FL 32034

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2009
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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