FORM 1023-EZ for UNIFIED FC FOUNDATION

Field Data
EIN 81-0726383
Case Number EO-2015349-000270
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNIFIED FC FOUNDATION
Organization’s Mailing Address 6529 RIDGE RD
City PARKVILLE
State MO
ZIP 64152
Accounting period End 12
Primary contact name KEVIN ROBERTSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEVIN ROBERTSON
PRESIDENT
8520 N WINFIELD AVE
KANSAS CITY MO 64153

Officer/Director/Trustee Two

RAUL COBOS
VICE PRESIDENT
3804 NW 52ND TERR
KANSAS CITY MO 64151

Officer/Director/Trustee Three

MANUEL COBOS
SECRETARY
7429 N TIPTON
KANSAS CITY MO 64152

Officer/Director/Trustee Four

DAVID ROUSE
TREASURER
6529 RIDGE RD
PARKVILLE MO 64152

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2015
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
One Third Support Gifts No
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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