FORM 1023-EZ for EASTSIDE SOCCER

Field Data
EIN 83-2266190
Case Number EO-2018295-000412
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EASTSIDE SOCCER
Organization’s Mailing Address 3161 CONYERS ST SE
City COVINGTON
State GA
ZIP 30014
Accounting period End 6
Primary contact name CHELSIE COGGINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANDY GOERNER
OFFICER
9106 WILLOW POINTE DR
COVINGTON GA 30014

Officer/Director/Trustee Two

AUSTIN ALDRIDGE
OFFICER
7110 MARTHA CT SE
COVINGTON GA 30014

Officer/Director/Trustee Three

LAURA MANLEY
OFFICER
200 COUNTRY WALK
SOCIAL CIRCLE GA 30025

Officer/Director/Trustee Four

CHELSIE COGGINS
OFFICER
3161 CONYERS ST SE
COVINGTON GA 30014

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/18
Organization Incorporation State GA
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: 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 Yes
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 CHELSIE COGGINS
Signature Title OFFICER
Signature Date 10/19/18

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