FORM 1023-EZ for HIGH POINT UNITED SOCCER CLUB A NJNON-PROFIT CORPORATION

Field Data
EIN 81-3268605
Case Number EO-2016221-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HIGH POINT UNITED SOCCER CLUB A NJNON-PROFIT CORPORATION
Organization’s Mailing Address 96 ROUTE 206 SUITE 2
City AUGUSTA
State NJ
ZIP 07822-2020
Accounting period End 6
Primary contact name WILLIAM F KEHOE ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL NELSON
TRUSTEE
2 CIDER MILL DR
SUSSEX NJ 07461-3056

Officer/Director/Trustee Two

DIANE ROSE
TRUSTEE
24 NEWMAN RD
WANTAGE NJ 07461-3124

Officer/Director/Trustee Three

WAYNE DUNN
TRUSTEE
19 ANN MARIE LANE
WANTAGE NJ 07461-3029

Officer/Director/Trustee Four

TARA VATALARO
TRUSTEE
40 EILEEN DR
WANTAGE NJ 07461

Officer/Director/Trustee Five

WILLIAM KEHOE
AUTHORIZED REPRESENTATIVE
96 ROUTE 206 SUITE 2
AUGUSTA NJ 07822-2020

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/2016
Organization Incorporation State NJ
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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