| Field | Data |
|---|---|
| EIN | 81-2620754 |
| Case Number | EO-2017307-000220 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CLUB INDEPENDENT |
| Organization’s Mailing Address | 1323 STRATFORD ROAD SE |
| City | DECATUR |
| State | AL |
| ZIP | 35601 |
| Accounting period End | 12 |
| Primary contact name | KENT QUINN CPA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
STUART SMITH
PRESIDENT
2205 LOCKERBY DR
DECATUR AL 35603
MATTHEW MORGAN
DIRECTOR
132 TIMBERLAKE DR
ARDMORE AL 35739
KEITH LIVINGSTON
DIRECTOR
4515 MARSHA AVENUE
DECATUR AL 35603
RASHAD CYLAR
DIRECTOR
109 IVYRIDGE ROAD
MADISON AL 35757
LORI ANDREWS
DIRECTOR
231 CO RD 1458
CULLMAN AL 35058
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/12/2017 |
| Organization Incorporation State | AL |
| 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: No Scientific: No Literary: No Public Safety: No Amateur Sports: Yes 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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