FORM 1023-EZ for SPARTA SOCCER BOOSTER CLUB INC

Field Data
EIN 37-1575418
Case Number EO-2014230-000128
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPARTA SOCCER BOOSTER CLUB INC
Organization’s Mailing Address 509 HIGHLAND MEADOWS DRIVE
City SPARTA
State WI
ZIP 54656
Accounting period End 12
Primary contact name LISA MOLLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LISA MOLLAND
PRESIDENT
509 HIGHLAND MEADOWS DRIVE
SPARTA WI 54656

Officer/Director/Trustee Two

KATHY ZIMMERMAN
TREASURER
211 NORTH L STREET
SPARTA WI 54656

Officer/Director/Trustee Three

JEROLYN GRANDALL
SECRETARY
9214 GEMWOOD AVENUE
SPARTA WI 54656

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/2012
Organization Incorporation State WI
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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