FORM 1023-EZ for FOND DU LAC SOCCER ASSOCIATION INC

Field Data
EIN 39-1369383
Case Number EO-2016175-000107
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOND DU LAC SOCCER ASSOCIATION INC
Organization’s Mailing Address PO BOX 1292
City FOND DU LAC
State WI
ZIP 54935
Accounting period End 8
Primary contact name ERIC GURHOLT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHAD COLLETT
PRESIDENT
85 SOUTHERN EDGE DR
FOND DU LAC WI 54935

Officer/Director/Trustee Two

DAN GERRED
VICE PRESIDENT
N7563 DEERPATH RD
FOND DU LAC WI 54937

Officer/Director/Trustee Three

LUKE NEWMAN
SECRETARY
210 YACOUB LANE
FOND DU LAC WI 54935

Officer/Director/Trustee Four

ERIC GURHOLT
TREASURER
630 WHISPERING SPRINGS DRIVE
FOND DU LAC WI 54937

Officer/Director/Trustee Five

ANDY GILL
DIRECTOR
N6024 JOSEPH DR
FOND DU LAC WI 54937

Organization’s website WWW.FONDYSOCCER.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/1980
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N40 - Sports Training Facilities, Agencies
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
Signature Title
Signature Date

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