FORM 1023-EZ for GENESIS UNITED FUTBOL CLUB

Field Data
EIN 27-5374064
Case Number EO-2015118-000115
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GENESIS UNITED FUTBOL CLUB
Organization’s Mailing Address 258 E HIGH ST
City MOORESVILLE
State IN
ZIP 46158
Accounting period End 12
Primary contact name STEVE DEBUHR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS NELSON
PRESIDENT
324 WILEY ST
GREENWOOD IN 46142

Officer/Director/Trustee Two

RICK SICA
TRUSTEE
3032 LOTUS LANE
INDIANAPOLIS IN 46227

Officer/Director/Trustee Three

MIKE MILLER
TREASURER
6836 EAST WATSON RD
MOORESVILLE IN 46158

Officer/Director/Trustee Four

CHRIS TURNMIRE
VICE PRESIDENT
164 CENTRAL AVE
FRANKLIN IN 46131

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/17/2011
Organization Incorporation State IN
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 Yes
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
Signature Title
Signature Date

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