FORM 1023-EZ for MARION PREMIER YOUTH SOCCER

Field Data
EIN 82-2149406
Case Number EO-2017198-000395
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARION PREMIER YOUTH SOCCER
Organization’s Mailing Address 7933 W N 00S
City SWAYZEE
State IN
ZIP 46986
Accounting period End 12
Primary contact name AMANDA KELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA KELLER
PRESIDENT
7933 W N 00S
SWAYZEE IN 46986

Officer/Director/Trustee Two

JORGE BERRY
BOARD MEMBER
710 W EUCLID AVE
MARION IN 46592

Officer/Director/Trustee Three

MELISSA BRYANT
TREASURER
3220 HUNTINGTON ROAD
MARION IN 46952

Officer/Director/Trustee Four

CHRISTOPHER ERTEL
BOARD MEMBER
9553 W 147 N
CONVERSE IN 46919

Officer/Director/Trustee Five

DUSTIN KELLER
SECRETARY
7933 W N 00 S
SWAYZEE IN 46986

Organization’s website
Organization’s email MARIONPREMIERSOCCER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2017
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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