FORM 1023-EZ for HILLDALE SOCCER BOOSTER CLUB

Field Data
EIN 83-2886144
Case Number EO-2019036-001131
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HILLDALE SOCCER BOOSTER CLUB
Organization’s Mailing Address 313 E PEAK BLVD
City MUSKOGEE
State OK
ZIP 74403
Accounting period End 12
Primary contact name JAMIE TRIPLETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMIE TRIPLETT
TREASURER
6865 E HANCOCK ST
MUSKOGEE OK 74403

Officer/Director/Trustee Two

JACK WEAVER
PRESIDENT
5901 ROLLING OAKS
MUSKOGEE OK 74401

Officer/Director/Trustee Three

BRYON BRUST
VICE PRESIDENT
3605 COUNTRY CLUB DRIVE
MUSKOGEE OK 74403

Officer/Director/Trustee Four

SARA FLETCHER
SECRETARY
6700 W 19TH ST S
MUSKOGEE OK 74401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/18
Organization Incorporation State OK
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 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 JAMIE TRIPLETT
Signature Title TREASURER
Signature Date 1/23/19

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