FORM 1023-EZ for FUTSAL INNOVATIONS

Field Data
EIN 85-0999862
Case Number EO-2020246-000466
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FUTSAL INNOVATIONS
Organization’s Mailing Address 3526 RANDOLPH ROAD
City DURHAM
State NC
ZIP 27705
Accounting period End 12
Primary contact name RICH BRYAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICH BRYAN
PRESIDENT AND DIRECTOR
3526 RANDOLPH ROAD
DURHAM NC 27705

Officer/Director/Trustee Two

WILLIAM THOMAS
DIRECTOR
120 WAVERLY FOREST LANE
CHAPEL HILL ND 27516

Officer/Director/Trustee Three

MIK BEETHAM
DIRECTOR
412 JEWEL DRIVE
CHAPEL HILL NC 27516

Officer/Director/Trustee Four

RICHARD FRANKS
DIRECTOR
222 AUTUMN DRIVE
CHAPEL HILL NC 27516

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 Yes
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 WILLIAM THOMAS
Signature Title DIRECTOR
Signature Date 8/31/2020

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