FORM 1023-EZ for MONA SHORES BOYS SOCCER BOOSTER CLUB

Field Data
EIN 61-1489974
Case Number EO-2014230-000145
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MONA SHORES BOYS SOCCER BOOSTER CLUB
Organization’s Mailing Address 3895 APPLEWOOD LANE
City MUSKEGON
State MI
ZIP 49441
Accounting period End 12
Primary contact name MARK QUIGG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK QUIGG
PRESIDENT
3895 APPLEWOOD LANE
MUSKEGON MI 49441

Officer/Director/Trustee Two

MIKE BOYNTON
VICE PRESIDENT
1118 WEST STERNBERG ROAD
NORTON SHORES MI 49441

Officer/Director/Trustee Three

KIM SIMONELLI
SECRETARY
784 WEST HILE ROAD
NORTON SHORES MI 49441

Officer/Director/Trustee Four

CHRIS BURNAW
TREASURER
1475 WESTWOOD DRIVE
NORTON SHORES MI 49441

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2005
Organization Incorporation State MI
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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