FORM 1023-EZ for EZAH EARLY YOUTH SOCCER ROCK ACADEMY

Field Data
EIN 46-4701332
Case Number EO-2018284-000098
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EZAH EARLY YOUTH SOCCER ROCK ACADEMY
Organization’s Mailing Address 4744 BENNER STREET
City PHILADELPHIA
State PA
ZIP 19135-3729
Accounting period End 12
Primary contact name EMMANUEL KESSEH NAGBE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMMANUEL K NAGBE
CEO
4744 BENNER STREET
PHILADELPHIA PA 19135-3729

Officer/Director/Trustee Two

VICTOR KAIZER
ADMINISTRATOR
39 WOODBINE ROAD
LEVITTOWN PA 19057-3215

Officer/Director/Trustee Three

NAKITA PHILIPS
SECRETARY
4744 BENNER STREET
PHILADELPHIA PA 19135-3729

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/14
Organization Incorporation State PA
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: No
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name EMMANUEL K NAGBE
Signature Title CEO
Signature Date 10/9/18

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