FORM 1023-EZ for LORAIN YOUTH SOCCER

Field Data
EIN 20-8951186
Case Number EO-2018277-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LORAIN YOUTH SOCCER
Organization’s Mailing Address 1610 COOPER FOSTER PK RD
City LORAIN
State OH
ZIP 44053-3617
Accounting period End 12
Primary contact name MICHELLE PULLIN CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAKISHA HENKE
TREASURER
624 HAMILTON AVE
LORAIN OH 44052

Officer/Director/Trustee Two

GEORGE DOUGLAS KIDDER
PRESIDENT
1394 F STREET
LORAIN OH 44054

Officer/Director/Trustee Three

BRETT MEIER
VICE PRESIDENT
1228 W 6TH ST
LORAIN OH 44052

Officer/Director/Trustee Four

DANIELLE SANTOS
COUNTY REPRESENTATIVE
1394 F STREET
LORAIN OH 44052

Officer/Director/Trustee Five

RACHEL RUSH
REGISTRAR
4367 BELLE AVE
SHEFFIELD LAKE OH 44054

Organization’s website WWW.FACEBOOK.COM/LORAINSOCCERASSOCIATION
Organization’s email LORAINSOCCER@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/81
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: 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TAKISHA HENKE
Signature Title TREASURER
Signature Date 10/2/18

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