FORM 1023-EZ for HHS SOCCER FOUNDATION

Field Data
EIN 81-3716371
Case Number EO-2017080-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HHS SOCCER FOUNDATION
Organization’s Mailing Address 128 ROCK ISLAND ST
City SPRING VALLEY
State IL
ZIP 61362
Accounting period End 12
Primary contact name TRISHA HARRISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PEGGY SCHMOLLINGER
PRESIDENT
7 LADD LANE
SPRING VALLEY IL 61362

Officer/Director/Trustee Two

TRISHA HARRISON
TREASURER
128 ROCK ISLAND STREET
SPRING VALLEY IL 61362

Officer/Director/Trustee Three

CARRIE BICKETT
SECRETARY
101 WEST PERU AVE
HOLLOWAYVILLE IL 61356

Officer/Director/Trustee Four

CECILIA FUENTES
VICE-PRESIDENT
116 W 5TH ST
SPRING VALLEY IL 61362

Officer/Director/Trustee Five

LORI SCARPACI
DIRECTOR
112 W ROMINES CIRCLE
DALZELL IL 61320

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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