FORM 1023-EZ for NORTHERN NEVADA YOUTH SOCCER ASSOCIATION

Field Data
EIN 82-0603982
Case Number EO-2017060-000290
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHERN NEVADA YOUTH SOCCER ASSOCIATION
Organization’s Mailing Address 864 ABEYTA DRIVE
City SPRING CREEK
State NV
ZIP 89815-7408
Accounting period End 12
Primary contact name LISA REED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSIE BAHR
NNYSA BOARD MEMBER MARKETING
911 PEMBERTON DR
SPRING CREEK NV 89815

Officer/Director/Trustee Two

LISA REED
NNYSA BOARD MEMBER TREASURER
864 ABEYTA DRIVE
SPRING CREEK NV 89815

Officer/Director/Trustee Three

JOSH PARK
NNYSA BOARD MEMBER CHAIR
406 SPRING CREEK VIEW
SPRING CREEK NV 89815

Officer/Director/Trustee Four

TANNER RIOS
NNYSA BOARD MEMBER VICECHAIR
481 GLENHAVEN DRIVE
SPRING CREEK NV 89815

Officer/Director/Trustee Five

RUSTY BAHR
NNYSA BOARD MEMBER GM
911 PEMBERTON DR
SPRING CREEK NV 89815

Organization’s website WWW.NNYSA.ORG
Organization’s email INFO@NNYSA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2017
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
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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