FORM 1023-EZ for PLYMOUTH BOYS SOCCER BOOSTER CLUB

Field Data
EIN 47-4183472
Case Number EO-2015201-000069
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLYMOUTH BOYS SOCCER BOOSTER CLUB
Organization’s Mailing Address PO BOX 6315
City PLYMOUTH
State MI
ZIP 48170
Accounting period End 12
Primary contact name JEFFREY SAUNDERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL IACOPELLI
PRESIDENT
6128 LOVEWOOD
CANTON MI 48187

Officer/Director/Trustee Two

JEFFREY SAUNDERS
TREASURER
11363 FELLOWS HILL DRIVE
PLYMOUTH MI 48170

Officer/Director/Trustee Three

DANA LIAKOS
VICE-PRESIDENT
547 HIGHLANDS DRIVE
CANTON MI 48188

Officer/Director/Trustee Four

TRACY VISNAW
SECRETARY
6147 WILLOW CREEK DRIVE
CANTON MI 48187

Officer/Director/Trustee Five

LORI FREDA
MEMBER AT LARGE
425 WESTBOURNE COURT
CANTON MI 48188

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2015
Organization Incorporation State MI
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: 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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