FORM 1023-EZ for WEED YOUTH SOCCER CLUB

Field Data
EIN 59-3812870
Case Number EO-2019252-000538
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WEED YOUTH SOCCER CLUB
Organization’s Mailing Address P O BOX 383
City WEED
State CA
ZIP 96094
Accounting period End 12
Primary contact name CORINNE MOLLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORINNE MOLLER
PRESIDENT
5329 STAG ST
WEED CA 96094-9121

Officer/Director/Trustee Two

HILLARY CALI
SECRETARY
P O BOX 383
WEED CA 96094-383

Officer/Director/Trustee Three

REBECCA GILBERT
REGISTRAR
16006 ARCHER RD
WEED CA 96094-3121

Officer/Director/Trustee Four

FLOYD ADAMS
DIRECTOR
16316 LAKE SHORE RD
WEED CA 96094-9121

Officer/Director/Trustee Five

RUSS MOLLER
REFEREE COORDINATOR
16006 ARCHER RD
WEED CA 96094-9121

Organization’s website WWW.WEEDYOUTHSOCCER.COM
Organization’s email WEEDSOCCERCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/16
Organization Incorporation State CA
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CORINNE MOLLER
Signature Title PRESIDENT
Signature Date 9/7/19
EIN 59-3812870
Case Number EO-2018074-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WEED YOUTH SOCCER CLUB
Organization’s Mailing Address P O BOX 383
City WEED
State CA
ZIP 96094-383
Accounting period End 12
Primary contact name CORINNE MOLLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORINNE MOLLER
PRESIDENT
P O BOX 383
WEED CA 96094-383

Officer/Director/Trustee Two

DARRELL PARHAM
TREASURER
P O BOX 383
WEED CA 96094-383

Officer/Director/Trustee Three

HILLARY CALI
SECRETARY
P O BOX 383
WEED CA 96094-383

Officer/Director/Trustee Four

REBECCA GILBERT
REGISTRAR
P O BOX 383
WEED CA 96094-383

Officer/Director/Trustee Five

JEFF LEE
SCHEDULER
P O BOX 383
WEED CA 96094-383

Organization’s website WWW.WEEDYOUTHSOCCER.COM
Organization’s email WEEDSOCCERCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/16
Organization Incorporation State CA
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 CORINNE MOLLER
Signature Title PRESIDENT
Signature Date 3/13/18

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