FORM 1023-EZ for INDIAN WELLS VALLEY SOCCER CLUB

Field Data
EIN 47-3566071
Case Number EO-2018290-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INDIAN WELLS VALLEY SOCCER CLUB
Organization’s Mailing Address PO BOX 1418
City RIDGECREST
State CA
ZIP 93556
Accounting period End 12
Primary contact name NICK JOHN MILLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY BLAKE
PRESIDENT
PO BOX 1418
RIDGECREST CA 93556

Officer/Director/Trustee Two

NIKKI MARKOTA
VICE-PRESIDENT
PO BOX 1418
RIDGECREST CA 93556

Officer/Director/Trustee Three

NICK MILLS
TREASURER
PO BOX 1418
RIDGECREST CA 93556

Officer/Director/Trustee Four

BECKY HILLIKER
SECRETARY
PO BOX 1418
RIDGECREST CA 93556

Officer/Director/Trustee Five

ROBERT FISHER
GENERAL MANAGER
PO BOX 1418
RIDGECREST CA 93556

Organization’s website HTTP://WWW.IWVSOCCERCLUB.COM
Organization’s email IWVSOCCERCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/18
Organization Incorporation State CA
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: 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 ROBERT FISHER
Signature Title GENERAL MANAGER
Signature Date 10/14/18

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