FORM 1023-EZ for BLUE DEVIL SOCCER GOAL CLUB INC

Field Data
EIN 84-3734129
Case Number EO-2019325-000329
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE DEVIL SOCCER GOAL CLUB INC
Organization’s Mailing Address 1000 WHITLOCK AVENUE SUITE 320-199
City MARIETTA
State GA
ZIP 30064
Accounting period End 5
Primary contact name COLBY HENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COLBY HENSON
TREASURER
1000 WHITLOCK AVENUE SUITE 320-199
MARIETTA GA 30064

Officer/Director/Trustee Two

ROBIN GARDENHIRE
PRESIDENT
1000 WHITLOCK AVENUE SUITE 320-199
MARIETTA GA 30064

Officer/Director/Trustee Three

STEPHEN JACOBS
VICE PRESIDENT
1000 WHITLOCK AVENUE SUITE 320-199
MARIETTA GA 30064

Officer/Director/Trustee Four

LYDIA SPRUILL
SECRETARY
1000 WHITLOCK AVENUE SUITE 320-199
MARIETTA GA 30064

Officer/Director/Trustee Five

MICHAEL VIDGOROV
VICE PRESIDENT
1000 WHITLOCK AVENUE SUITE 320-199
MARIETTA GA 30064

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 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 COLBY HENSON
Signature Title TREASURER
Signature Date 11/19/19

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