Entiendaporfavorquela Fundacion de EasternSocceres unacorporacion reconocida del 50.1 (3) por el InternalRevenueServicey comotal requieresolicitarla siguienteinformacion financieraparaasegurarconformidad con InternalRevenueServiceen su mandatooriqinal.

Nombrede los padres Direccion Ntmero de telefono Nombredeljugador Equipoen Eastern Fechade nacimiento Nombrede la escuela,y grado Numerode afroscon EasternFC Beca solicitada(por favor circule): a) Cuotacompleta costode EasternFC b) Medio c) Cuarto

( e l 5 0 % d e l o a n t e sm e n c i o n a d o ) ( e l 2 5 % d e l o a n t e sm e n c i o n a d o )

Nota:Una becano incluyeel costode los uniformes, que se debenpagara EasternFC por jugador. Los padrestienenque proporcionar una copiade la declaracion de impuestos federalrecientey la \N2 de cadaesposo.Lasexcepciones seranpermitidas solamente bajocircunstancias especiales y talespeticiones debenestarpor escrito. Estasolicitudno seraaceptadosin esta informacion Debeentenderque si el jugadordel EasternFC abandonao se le pideirsedel club por razones disciplinarias antesde finalizarla temporadade futbolde 2006/2007, se le obligarda rembolsar a la fundacionde Easternpor la cantidadtotalrecibida?

Escribaporfavorunadescripcion cortaque resumasu situacionfinanciera y la razondeesta solicitud.

Nota: Entiendapor favor que la fundaciondel EasternSoccer es una corporacionreconocidade 501 c (3) por el IRS y como tal requieresolicitarla informacionfinancierapara asegurar conformidadcon el mandato original. La informacionrecibidapor la fundacion EasternSoccer sera manejada en terminantemente confidencialidad. Reconocido:

EasternSoccerFoundation

Solicitante

APPLICATION CHECKLIST

APPLICATIONS WITH TAX RETT,JRNS I . A P P L I C A T I O NC O M P L E T E DI N I T S E N T I R I T Y

YES

NO

2 . A P P L I C A ] ' I O NS I G N E D

YES

NO

3 . I N C O M ET A X R E T U R N SE N C ] L O S E D

YES

NO

I . A P P L I C A T I O NC O M P L E T E DI N I T S E N T I R I T Y

YES

NO

2 . A P P L I C A T I O NS I G N E D

YES

NO

3 . A F F ' I D A V I TO F 'I N C O M EC O M P L E T E T )

YES

NO

4 . A F F I D A V I TO F I N C O M EN O T A R I Z E D

YES

NO

4 . F E D E R A TF- O R M 4 5 0 6

A P P L I C A ' I ' I O N SW I T H O U T T A X R E T U R N S

AFFIDAVIT OF INCOME: WhereInternal RevenueService1(M0FederalIncome Tax Return is A) not prepared.B) not required to lile. Stateof Countyof

_

) ) of lawful age,upon oath states:

I, I am the applicant and requestinga grant from EasternSoccerFoundation.I reside My FederalIncomeTax Return for the at currentyear is not available.Although my earningscan not be documentedat this time, I declaremy householdincome to be

2. I authorizeEasternSoccerFoundationInc to verifr theaboveinformation. Obtaininga grantwith inconectinformationwill requirereimbursingthe foundationfor all gants received. Dated:

fSignatureof afiant] Subscribedand sworn to beforeme

[dateJ.

[Signatureandsealof notarypublic] NotaryPublic expires: My commission

[dateJ.

,".4506 (R€v.AD.il 2{x)6} Depfilfr*il ot tho Tmaury gedlco htfrnat R6vmo

Requestfor Copyof Tax Return > Do not sign thle lorm unlcss all appllcable llnee have been completed. Read the instruction3 on pago 2. ) Requestmay bc roloctod if tfre lorm ls incomplote,llleqlbl€, or sny raqultrd linc was blank at thc timc ol cignature.

OMB No. 1545-0429

Tip: You may be abloto get your tax retumor returninformalionfrom othersources.lf you hadyour tax returncompl€todby a paid preptrer,they shouldb€ abls to providsyou a copy of tho roturn.The IRScan providea Tax Retum Transcripl for manyrefumsfre€of charge.The transcrlpt providesmostof the lineentriesfromlhe ta Not|'. /f the copies must be certiffod for court or administnlive

tr

prcceedlngs, check hera

7

Yoor or porlod rcquestod.Enterthe endlngdate of lh€ y6ar or period,usingthe mnlddlyry format.lf you ar€ roquoslingmore than eight yoarsor periods,you must attachanoth€rForm4506.

I

Foo. Therels a $39 foo tor each return r€quosted.Full paymsnt must be included wlth your ruquost or lt wlll be rejected. Mak6 your chock or money order payableto "United Statos Trcarury." Entcr yow SSN or EIN and "Fom 4lX)Orsquost" on your check or monoy ordar.

a Cost for each return b Numberof rolurnsrequestedon line 7 line 8a by line 8b c Total cost. 0 lf we csnnot find the tax rsturn,we wlll refundth€ tc6. l, the rerundshouldgo io thqthiq pany [std on line S, check Signature of taxpayer{cl.I declarethat I am eitherthe ta(payerwhosenamois showoon line 1a ot 2a, o( a personauthorizedto obtain lh€ tax relurnrequested.lf the requestappliosto a loint retum,eitftor husbandor wife must sign. lf sign€dby a corporateotficer,partner,guardian,tax matterspartner,executor,r€ceiver,admir$strator, trustee,or party other than the taxpayer,I cortify trat I havethe authorityto oxecute Form4506 on behalfof the taxpayer. Tolephonenumberof taxpayeron line la or 2a

()

i:':I

Sighaluts {s€o instruclions}

Tlllo ff line la above is a colpofallon, frartntrship, o€iate, or |rusl)

)

Spouro'r signalure

For Privacy Act and PepctrvorkRcductlon Act lrlotlco,see page 2.

Cat. flo. 41721E

Form 45(F

Fer/.4-?0{}6)