FORM 1023-EZ for CROSS PLAINS YOUTH SOCCER ASSOCIATION

Field Data
EIN 47-2448796
Case Number EO-2015160-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROSS PLAINS YOUTH SOCCER ASSOCIATION
Organization’s Mailing Address 7622 HIGHWAY 25 E
City CROSS PLAINS
State TN
ZIP 37049-4751
Accounting period End 12
Primary contact name RACHEL BISHOP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RACHEL BISHOP
PRESIDENT
6238 OWENS CHAPEL RD
SPRINGFIELD TN 37172-6470

Officer/Director/Trustee Two

ELIZABETH COLVIN
VICE-PRESIDENT
1788 FRIENDSHIP RD
CROSS PLAINS TN 37049-4751

Officer/Director/Trustee Three

SOMMER HORNBERGER
SECRETARY
4676 GREER LN
CROSS PLAINS TN 37049-4751

Officer/Director/Trustee Four

AMY SHELTON
TREASURER
4354 BROWNSTONE DR
CROSS PLAINS TN 37049-4751

Officer/Director/Trustee Five

JEREMY HOLSTON
DIRECTOR OF COACHES
4775 YATES CAVE RD
CROSS PLAINS TN 37049-4751

Organization’s website WWW.FACEBOOK.COM/CROSSPLAINSOCCER
Organization’s email CROSSPLAINSOCCER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/2014
Organization Incorporation State TN
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: 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 Yes
One Third Support Gifts No
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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