FORM 1023-EZ for NORTH IOWA SOCCER CLUB

Field Data
EIN 42-1478524
Case Number EO-2020029-000375
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH IOWA SOCCER CLUB
Organization’s Mailing Address 23985 GULL AVE
City CLEAR LAKE
State IA
ZIP 50428
Accounting period End 12
Primary contact name TIFIANI WHITEHOUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREG JENNINGS
PRESIDENT
23985 GULL AVE
CLEAR LAKE IA 50428

Officer/Director/Trustee Two

DANYELLE GANSEN
DIRECTOR OF MARKING
113 35TH PL W
CLEAR LAKE IA 50428

Officer/Director/Trustee Three

JEREMY KORENBERG
DIRECTOR OF COACHES
401 N 4TH ST
CLEAR LAKE IA 50428

Officer/Director/Trustee Four

JOHN KORENBERG JR
DIRECTOR OF FACILITIES
1120 N 8TH ST
CLEAR LAKE IA 50428

Officer/Director/Trustee Five

TIFANI WHITEHOUSE
TREASURER
311 WOODLANE DR
CLEAR LAKE IA 50428

Organization’s website WWW.NORTHIOWASOCCER.COM
Organization’s email NISOCCERPRESIDENT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/1998
Organization Incorporation State IA
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TIFANI WHITEHOUSE
Signature Title TREASURER
Signature Date 1/27/2020

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