FORM 1023-EZ for TRI WEST HIGH SCHOOL SOCCER BOOSTERS INC

Field Data
EIN 82-0927494
Case Number EO-2017107-000304
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRI WEST HIGH SCHOOL SOCCER BOOSTERS INC
Organization’s Mailing Address 7883 NORTH STATE ROUTE 39
City LIZTON
State IN
ZIP 46149
Accounting period End 12
Primary contact name DONALD R CARLTON JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONALD CARLTON
PRESIDENT
4219 EAST COUNTY ROAD 350 NORTH
DANVILLE IN 46122

Officer/Director/Trustee Two

BARRY NEWTON
VICE PRESIDENT
6750 NORTH COUNTY ROAD 350 WEST
LIZTON IN 46149

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2017
Organization Incorporation State IN
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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