FORM 1023-EZ for HARTSVILLE UNITED SOCCER LEAGUE

Field Data
EIN 46-0664854
Case Number EO-2015341-000442
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARTSVILLE UNITED SOCCER LEAGUE
Organization’s Mailing Address 392 WINNERS CIR
City HARTSVILLE
State SC
ZIP 29550
Accounting period End 6
Primary contact name MICHELLE NUCKOLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RAY BURR
PRESIDENT, DIRECTOR
1241 CROOKED CREEK DR
HARTSVILLE SC 29550

Officer/Director/Trustee Two

TERESA JOHNSON
SECRETARY, DIRECTOR
354 EQUESTRIAN RUN
HARTSVILLE SC 29550

Officer/Director/Trustee Three

MICHELLE NUCKOLS
TREASURER, DIRECTOR
392 WINNERS CIR
HARTSVILLE SC 29550

Officer/Director/Trustee Four

BRANDIE BERGHORN
VICE PRESIDENT, DIRECTOR
314 EQUESTRIAN RUN
HARTSVILLE SC 29550

Officer/Director/Trustee Five

ANITRA CALDWELL
DIRECTOR
2101 BOBWHITE LN
HARTSVILLE SC 29550

Organization’s website WWW.HARTSVILLEUNITED.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2013
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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
Signature Title
Signature Date

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