FORM 1023-EZ for GRANT CO YOUTH SOCCER ASSOCATION

Field Data
EIN 83-4473763
Case Number EO-2019129-000326
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRANT CO YOUTH SOCCER ASSOCATION
Organization’s Mailing Address PO BOX 330
City DRY RIDGE
State KY
ZIP 41035
Accounting period End 12
Primary contact name JERID WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERID WILSON
PRESIDENT
1015 VERONA MT ZION ROAD
DRY RIDGE KY

Officer/Director/Trustee Two

TYLER MULLINS
VICE PRESIDENT
204 RIDGLEA DRIVE
WILLIAMSTOWN KY 41097

Officer/Director/Trustee Three

MICHELLE BOHMAN
TREASURER
135 MAPLE RIDGE ROAD
CRITTENDEN KY 41030

Officer/Director/Trustee Four

AMBER WILSON
REGISTRAR
1015 VERONA MT ZION ROAD
DRY RIDGE KY 41035

Officer/Director/Trustee Five

KRISSY SCHLUETER
SECRETARY
2520 KNOXVILLE ROAD
DRY RIDGE KY 41035

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/19
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
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 JERID WILSON
Signature Title PRESIDENT
Signature Date 5/7/19

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