FORM 1023-EZ for MADERA PREMIER SOCCER LEAGUE

Field Data
EIN 27-2151502
Case Number EO-2018059-000327
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MADERA PREMIER SOCCER LEAGUE
Organization’s Mailing Address 900 IMPERIAL DRIVE
City MADERA
State CA
ZIP 93637
Accounting period End 12
Primary contact name DANIEL EVANGELISTA JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIO RUIZ
PRESIDENT
26803 AVE 18 1/2
MADERA CA 93638

Officer/Director/Trustee Two

SHERRI SANCHEZ
REGISTRAR
17365
MADERA CA 93638

Officer/Director/Trustee Three

SARAH STUTLER
SECRETARY
3742 VIA CAPITOLA
MADERA CA 93637

Officer/Director/Trustee Four

MARIA BARRIGA
TREASURER
1511 WEST CENTRAL AVE
MADERA CA 93637

Officer/Director/Trustee Five

DANIEL EVANGELISTA
VICE-PRESIDENT
900 IMPERIAL DRIVE
MADERA CA 93637

Organization’s website WWW.MADERASCORPIONS.COM
Organization’s email DANIELEVANGELISTA@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/15
Organization Incorporation State CA
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: 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 DANIEL EVANGELISTA
Signature Title VICE-PRESIDENT
Signature Date 2/26/18

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