FORM 1023-EZ for KING PHILLIP SOCCER ASSOCIATION INC

Field Data
EIN 81-2017117
Case Number EO-2016231-000286
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KING PHILLIP SOCCER ASSOCIATION INC
Organization’s Mailing Address 7 WINTERGREEN LANE
City PLAINVILLE
State MA
ZIP 02762
Accounting period End 12
Primary contact name JOHN RAINONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DON POWERS
PRESIDENT/DIRECTOR
PO BOX 176
WRENTHAM MA 02093

Officer/Director/Trustee Two

JOHN RAINONE
TREASURER/DIRECTOR
7 WINTERGREEN LANE
PLAINVILLE MA 02672

Officer/Director/Trustee Three

RUTH BERNHARD
CLERK/DIRECTOR
10 TANGLEWOOD ROAD
PLAINVILLE MA 02672

Officer/Director/Trustee Four

BRENDA VAVARIGOS
DIRECTOR
250 EMERALD STREET
WRENTHAM MA 02093

Officer/Director/Trustee Five

TODD LINDMARK
VICE PRESIDENT/DIRECTOR
16 QUAIL RUN ROAD
NORFOLK MA 02056

Organization’s website KPSOCCER.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2016
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: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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