FORM 1023-EZ for HORTONVILLE SOCCER BOOSTER CLUB INC

Field Data
EIN 83-1964512
Case Number EO-2018267-000136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HORTONVILLE SOCCER BOOSTER CLUB INC
Organization’s Mailing Address 419 N PINE GROVE LANE
City HORTONVILLE
State WI
ZIP 54944-8750
Accounting period End 12
Primary contact name MIKE STEVENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMRA BIESE
TREASURER
419 N PINE GROVE LANE
HORTONVILLE WI 54944-8750

Officer/Director/Trustee Two

JENNIFER HONEYCUTT
PRESIDENT
419 N PINE GROVE LANE
HORTONVILLE WI 54944-8750

Officer/Director/Trustee Three

LORIE CLAYBAUGH
VICE PRESIDENT
419 N PINE GROVE LANE
HORTONVILLE WI 54944-8750

Officer/Director/Trustee Four

SHANNON BAKICH
SECRETARY
419 N PINE GROVE LANE
HORTONVILLE WI 54944-8750

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/18
Organization Incorporation State WI
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: Yes
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 TAMRA BIESE
Signature Title TREASURER
Signature Date 9/20/18

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