FORM 1023-EZ for DESOTO CENTRAL MIDDLE SCHOOL JAGUARSOCCER CLUB

Field Data
EIN 81-3733860
Case Number EO-2017111-000291
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DESOTO CENTRAL MIDDLE SCHOOL JAGUARSOCCER CLUB
Organization’s Mailing Address 6225 BEAR CV SOUTH
City OLIVE BRANCH
State MS
ZIP 38654
Accounting period End 12
Primary contact name GARY LEE KIEFFNER JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN BOGGAN
PRESIDENT
2771 RUSSUM DR
SOUTHAVEN MS 38672

Officer/Director/Trustee Two

BRANDON THOMAS
PRESIDENT-ELECT
5213 SAVANNAH PARKWAY
SOUTHAVEN MS 38672

Officer/Director/Trustee Three

MISTY BLASKEY
SECRETARY
4805 HEARTHSTONE
SOUTHAVEN MS 38672

Officer/Director/Trustee Four

GARY KIEFFNER
TREASURER
6225 BEAR CV
OLIVE BRANCH MS 38654

Officer/Director/Trustee Five

MANDY WRIGHT
VICE-PRESIDENT
4838 BOWIE LANE
OLIVE BRANCH MS 38654

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2016
Organization Incorporation State MS
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: Yes
Religious: No
Educational: No
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 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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