FORM 1023-EZ for SGN SOCCER ACADEMY

Field Data
EIN 83-4153345
Case Number EO-2019100-000148
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SGN SOCCER ACADEMY
Organization’s Mailing Address 1200 WINE SPRING LANE
City BALTIMORE
State MD
ZIP 21204
Accounting period End 12
Primary contact name THOMAS PREVAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE NICHOLS
PRESIDENT
1200 WINE SPRING LANE
BALTIMORE MD 21204

Officer/Director/Trustee Two

MIKE MARCIANO
DIRECTOR
1200 WINE SPRING LANE
BALTIMORE MD 21204

Officer/Director/Trustee Three

MACK MCGEE
DIRECTOR
1200 WINE SPRING LANE
BALTIMORE MD 21204

Officer/Director/Trustee Four

BROCK YETSO
DIRECTOR
1200 WINE SPRING LANE
BALTIMORE MD 21204

Officer/Director/Trustee Five

MAMADOU KANSAYE
DIRECTOR
1200 WINE SPRING LANE
BALTIMORE MD 21204

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/19
Organization Incorporation State MD
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 Yes
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 STEVE NICHOLS
Signature Title PRESIDENT
Signature Date 4/8/19

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