FORM 1023-EZ for MARYLAND PREMIER SOCCER CLUB

Field Data
EIN 47-5408208
Case Number EO-2015313-000230
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARYLAND PREMIER SOCCER CLUB
Organization’s Mailing Address 8 STAGS LEAP COURT
City GERMANTOWN
State MD
ZIP 20874
Accounting period End 12
Primary contact name POUYAN MOLKARA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

POUYAN MOLKARA
DIRECTOR OF OPERATIONS
8 STAGS LEAP CT
GERMANTOWN MD 20874

Officer/Director/Trustee Two

PARVIZ MOLKARA
DIRECTOR OF FINANCE
8 STAGS LEAP CT
GERMANTOWN MD 20874

Officer/Director/Trustee Three

JOSE HERNANDEZ
DIRECTOR OF ATHLETIC DEVELOPEMENT
12838 KITCHEN HOUSE WAY
GERMANTOWN MD 20874

Officer/Director/Trustee Four

JOHANNA KADAM
SECRETARY
12862 SAGE TERRACE
GERMANTOWN MD 20874

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2015
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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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