FORM 1023-EZ for BALLARD SOCCER CLUB

Field Data
EIN 39-1885643
Case Number EO-2015301-000320
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BALLARD SOCCER CLUB
Organization’s Mailing Address 514 EAST 5TH STREET
City HUXLEY
State IA
ZIP 50124
Accounting period End 12
Primary contact name PAUL KALLIO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL KALLIO
PRESIDENT
514 EAST 5TH STREET
HUXLEY IA 50124

Officer/Director/Trustee Two

DANIELLE EDWARDS
TREASURER
511 EAST 1ST STREET-103
HUXLEY IA 50124

Officer/Director/Trustee Three

BRENT EMERSON
VICE PRESIDENT
530 MEADOW LANE
HUXLEY IA 50124

Officer/Director/Trustee Four

CHRIS CATRON
COO
505 EAST 3RD
MADRID IA 50156

Officer/Director/Trustee Five

LISA STOCKSLEGER
SECRETARY
630 GREENE STREET
SLATER IA 50244

Organization’s website WWW.BALLARDSOCCERCLUB.ORG
Organization’s email PRESIDENT@BALLARDSOCCERCLUB.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/1997
Organization Incorporation State IA
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: 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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