FORM 1023-EZ for FAIRFAX FLETCHER SOCCER CLUB

Field Data
EIN 30-0333037
Case Number EO-2021264-000413
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAIRFAX FLETCHER SOCCER CLUB
Organization’s Mailing Address PO BOX 261
City FAIRFAX
State VT
ZIP 05454
Accounting period End 12
Primary contact name RACHELLE LEVAU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICH DEGRAFF-MURPHY
PRESIDENT
880 RUGG RD
EAST FAIRFIELD VT 05448

Officer/Director/Trustee Two

RACHELLE LEVAU
TREASURER
52 BUTTON RD
FAIRFAX VT 05454

Officer/Director/Trustee Three

PATRICK HOULE
DIRECTOR
44 LAMOILLE VIEW LN UNIT 202
JEFFERSONVILLE VT 05464

Officer/Director/Trustee Four

JOANNA TEBBETTS
DIRECTOR
16 FLANDERS RD
FAIRFAX VT 05454

Officer/Director/Trustee Five

SAMANTHA PREVIS
DIRECTOR
PO BOX 443
FAIRFAX VT 05454

Organization’s website FAIRFAXFLETCHERSOCCERCLUB.ORG
Organization’s email FAIRFAXFLETCHERSOCCERCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2012
Organization Incorporation State VT
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RACHELLE LEVAU
Signature Title TREASURER
Signature Date 7/13/2021

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