FORM 1023-EZ for CLARK COUNTY SOCCER ASSOCIATION

Field Data
EIN 86-3867264
Case Number EO-2021141-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLARK COUNTY SOCCER ASSOCIATION
Organization’s Mailing Address 1120 CASTLE POINT AVE
City HENDERSON
State NV
ZIP 89074
Accounting period End 6
Primary contact name JODI MCDONALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JODI MCDONALD
TREASURER
1120 CASTLE POINT AVE
HENDERSON NV 89074

Officer/Director/Trustee Two

ERIC MCDONALD
PRESIDENT
1120 CASTLE POINT AVENUE
HENDERSON NV 89074

Officer/Director/Trustee Three

RICHARD MOLES
VICE PRESIDENT
2032 ALTO VISTA
HENDERSON NV 89052

Officer/Director/Trustee Four

WENDY BURGESS
SECRETARY
7800 W ROSADA WAY
LAS VEGAS NV 89149

Organization’s website TITANSFCNEVADA.COM
Organization’s email LVTITANSFC@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2021
Organization Incorporation State NV
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 Yes
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 JODI MCDONALD
Signature Title TREASURER
Signature Date 5/17/2021

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