FORM 1023-EZ for PANTHERS SOFTBALL

Field Data
EIN 81-2805352
Case Number EO-2016251-000077
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PANTHERS SOFTBALL
Organization’s Mailing Address 354 BARLEAU STREET
City BRENTWOOD
State NY
ZIP 11717
Accounting period End 12
Primary contact name DALIA PONCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSE BURGOS
PRESIDENT
14 SYCAMORE STREET
CENTRAL ISLIP NY 11722

Officer/Director/Trustee Two

JOHN PONCE
TRUSTEE
354 BARLEAU STREET
BRENTWOOD NY 11717

Officer/Director/Trustee Three

TINA MERCADO
TRUSTEE
114 RIDDLE STREET
BRENTWOOD NY 11717

Officer/Director/Trustee Four

DALIA PONCE
TREASUER
354 BARLEAU STREET
BRENTWOOD NY 11717

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/2016
Organization Incorporation State NY
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: 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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