FORM 1023-EZ for MUSSELMAN HIGH SCHOOL SOCCER BOOSTER ASSOCIATION

Field Data
EIN 14-1997063
Case Number EO-2017261-000386
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MUSSELMAN HIGH SCHOOL SOCCER BOOSTER ASSOCIATION
Organization’s Mailing Address 126 EXCELLENCE WAY
City INWOOD
State WV
ZIP 25428
Accounting period End 6
Primary contact name JOHN RYAN OR LISA MATHEWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN RYAN
PRESIDENT
574 PINNACLE DRIVE
BUNKER HILL WV 25413

Officer/Director/Trustee Two

LISA MATHEWS
TREASURER
154 ISSAC DRIVE
BUNKER HILL WV 25413

Officer/Director/Trustee Three

JERRY KACKLEY
BOYS VICE PRESIDENT
1143 SPECS RUN ROAD
BUNKER HILL WV 25413

Officer/Director/Trustee Four

TAMMY RAMPINO
GIRLS VICE PRESIDENT
269 TORYTOWN ROAD
BUNKER HILL WV 25413

Officer/Director/Trustee Five

PATRICIA BOYCAN
SECRETARY
192 FREEDOM LANE
MARTINSBURG WV 25405

Organization’s website HTTPS://MUSSELMANHSSOCCER.WIXSIE.COM/FANCLUB
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/2007
Organization Incorporation State WV
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: 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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity Yes
Disaster relief assistance Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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