FORM 1023-EZ for HIGHLANDER SOCCER CLUB

Field Data
EIN 30-0947866
Case Number EO-2018005-000144
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIGHLANDER SOCCER CLUB
Organization’s Mailing Address PO BOX 594
City CLAYSVILLE
State PA
ZIP 15323
Accounting period End 12
Primary contact name JOHN E GRICE IV
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN GRICE IV
PRESIDENT
1305 VISTA VALLEY RD
WASHINGTON PA 15301-8989

Officer/Director/Trustee Two

SCOTT MCDONALD
VICE PRESIDENT
62 MOUNTS VALLEY RD
WASHINGTON PA 15301-8585

Officer/Director/Trustee Three

KATHERINE LOWE
SECRETARY
131 GORBY ROAD
WASHINGTON PA 15301-7742

Officer/Director/Trustee Four

SHANNON WHITEMAN
TREASURER
20 REESE ROAD
WASHINGTON PA 15301-7730

Organization’s website WWW.HIGHLANDERSOCCERCLUB.COM
Organization’s email ADMIN@HIGHLANDERSOCCERCLUB.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/16
Organization Incorporation State PA
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 JOHN GRICE IV
Signature Title PRESIDENT
Signature Date 1/3/18

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