FORM 1023-EZ for QUAD CITY STRIKERS

Field Data
EIN 36-4898459
Case Number EO-2018197-000228
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUAD CITY STRIKERS
Organization’s Mailing Address 1418 W 63RD ST
City DAVENPORT
State IA
ZIP 52806
Accounting period End 12
Primary contact name BRIAN MOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN MOSS
PRESIDENT
1418 W 63RD ST
DAVENPORT IA 52806

Officer/Director/Trustee Two

NICOLE STROUPE
VICE PRESIDENT
1418 W 63RD ST
DAVENPORT IA 52806

Officer/Director/Trustee Three

HANNAH MULLINAX
TREASURER
1418 W 63RD ST
DAVENPORT IA 52806

Officer/Director/Trustee Four

JENNIFER DEREUS
DIRECTOR OF VOLUNTEERS
1418 W 63RD ST
DAVENPORT IA 52806

Officer/Director/Trustee Five

KRISTA RINGDAHL
REGISTRAR
1418 W 63RD ST
DAVENPORT IA 52806

Organization’s website HTTP://QUADCITYSTRIKERS.WEBSITE.SIPLAY.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/18
Organization Incorporation State IA
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: No
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 BRIAN MOSS
Signature Title PRESIDENT
Signature Date 7/12/18

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