FORM 1023-EZ for GILES UNITED SOCCER CLUB

Field Data
EIN 82-3052219
Case Number EO-2017289-000261
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GILES UNITED SOCCER CLUB
Organization’s Mailing Address 105 SMITH ST
City PEMBROKE
State VA
ZIP 24136
Accounting period End 12
Primary contact name BEN MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT PARKS
TREASURER
407 MASON COURT DRIVE
PEARISBURG VA 24134

Officer/Director/Trustee Two

ANGELA HIGGINBOTHAM
REF ASSIGNOR
1714 CASCADE DR
PEMBROKE VA 24136

Officer/Director/Trustee Three

BENJAMIN MILLER
DIRECTOR
105 SMITH ST
PEMBROKE VA 24136

Organization’s website WWW.GILESCOUNTYSOCCER.COM
Organization’s email DIRECTOR@GILESCOUNTYSOCCER.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2017
Organization Incorporation State VA
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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