FORM 1023-EZ for TITUSVILLE YOUTH SOCCER ASSOCIATION

Field Data
EIN 81-0723939
Case Number EO-2020038-000262
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TITUSVILLE YOUTH SOCCER ASSOCIATION
Organization’s Mailing Address 117 E WALNUT STREET
City TITUSVILLE
State PA
ZIP 16354
Accounting period End 12
Primary contact name RICHARD WINKLER ESQUIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUKE RUOT
PRESIDENT AND DIRECTOR
117 E WALNUT ST
TITUSVILLE PA 16354

Officer/Director/Trustee Two

DAVID SOUTHWICK
TREASURER AND DIRECTOR
623 W SPRING ST
TITUSVILLE PA 16354

Officer/Director/Trustee Three

GARY BARNES
VICE PRESIDENT
205 W MAIN ST
TITUSVILLE PA 16354

Officer/Director/Trustee Four

AMY RUOT
DIRECTOR
117 E WALNUT ST
TITUSVILLE PA 16354

Officer/Director/Trustee Five

STEPHANIE FULLERTON
SECRETARY AND DIRECTOR
205 W MAIN ST
TITUSVILLE PA 16354

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2018
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: 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 LUKE RUOT
Signature Title PRESIDENT AND DIRECTOR
Signature Date 2/5/2020

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