FORM 1023-EZ for GRISWOLD MIDDLE SCHOOL SOCCER INC

Field Data
EIN 83-4219375
Case Number EO-2019093-000210
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRISWOLD MIDDLE SCHOOL SOCCER INC
Organization’s Mailing Address 211 SLATER AVE
City GRISWOLD
State CT
ZIP 6351
Accounting period End 12
Primary contact name MELISSA WOOTEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA WOOTEN
SECRETARY
10
GRISWOLD CT 6351

Officer/Director/Trustee Two

KIMBERLY NEILSON
PRESIDENT
12 SHELDON CIRC
GRISWOLD CT 6351

Officer/Director/Trustee Three

SHARON BOUSQUET
VICE PRESIDENT
85 COLONEL BROWN RD
GRISWOLD CT 6351

Officer/Director/Trustee Four

LAUREN LOGAN
TREASUER
139 THAMES ST
NEW LONDON CT 6320

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/19
Organization Incorporation State CT
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: Yes
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 MELISSA WOOTEN
Signature Title SECRETARY
Signature Date 4/1/19

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