FORM 1023-EZ for PENTUCKET YOUTH FOOTBALL CLUB INC

Field Data
EIN 32-0347472
Case Number EO-2016097-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PENTUCKET YOUTH FOOTBALL CLUB INC
Organization’s Mailing Address 89 WEST MAIN ST
City MERRIMAC
State MA
ZIP 01860
Accounting period End 12
Primary contact name JON GORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JON GORE
PRESIDENT
9 ORCHARD ST
MERRIMAC MA 01860

Officer/Director/Trustee Two

BILL BOURQUE
SECRETARY
2 BUTTONWOODS AVE
HAVERHILL MA 01830

Officer/Director/Trustee Three

PETER KITSAKOS
COMMISSIONER
89 W MAIN ST
MERRIMAC MA 01860

Officer/Director/Trustee Four

CHE CONDON
VICE PRESIDENT
2 BERRYWOOD LANE
GROVELAND MA 01834

Organization’s website HTTP://WWW.PENTUCKETYOUTHFOOTBALL.ORG
Organization’s email PENTUCKETYOUTHFOOTBALL@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/2012
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 32-0347472
Case Number EO-2014247-000087
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PENTUCKET YOUTH FOOTBALL CLUB INC
Organization’s Mailing Address 89 WEST MAIN ST
City MERRIMAC
State MA
ZIP 01860
Accounting period End 12
Primary contact name JON GORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JON GORE
PRESIDENT
9 ORCHARD ST
MERRIMAC MA 01860

Officer/Director/Trustee Two

PETER KITSAKOS
DIRECTOR
89 WEST MAIN ST
MERRIMAC MA 01860

Officer/Director/Trustee Three

SCOTT BRENNA
DIRECTOR
2 KELLY BROOK LANE
WEST NEWBURY MA 01864

Officer/Director/Trustee Four

WALT SLEVOSKI
VICE PRESIDENT
1 LINCOLN ST
MERRIMAC MA 01860

Officer/Director/Trustee Five

BILL ONEIL
TREASURER
ELM PARK
GROVELAND MA 01834

Organization’s website HTTP://WWW.PENTUCKETYOUTHFOOTBALL.ORG
Organization’s email PENTUCKETYOUTHFOOTBALL@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/2012
Organization Incorporation State MA
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: No
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
Signature Title
Signature Date

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