FORM 1023-EZ for BRISTOL FARMINGTON SOCCER ASSOCIATION

Field Data
EIN 81-2344257
Case Number EO-2016116-000498
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRISTOL FARMINGTON SOCCER ASSOCIATION
Organization’s Mailing Address 7153 FENTON RD
City BRISTOLVILLE
State OH
ZIP 44402-9704
Accounting period End 12
Primary contact name SARAH IMHOFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BROOKE VONDRASEK
PRESIDENT
5121 STATE ROUTE 45
BRISTOLVILLE OH 44402-9704

Officer/Director/Trustee Two

MICHAEL BURNS
VICE PRESIDENT
2416 HYDE SHAFFER ROAD
BRISTOLVILLE OH 44402-9704

Officer/Director/Trustee Three

MIRANDA GERCHAK
SECRETARY
5664 THOMPSON CLARK RD
BRISTOLVILLE OH 44402-9704

Officer/Director/Trustee Four

SARAH IMHOFF
TREASURER
7153 FENTON RD
BRISTOLVILLE OH 44402-9704

Organization’s website
Organization’s email BRISTOLFARMINGTONSOCCER@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2016
Organization Incorporation State OH
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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