FORM 1023-EZ for DICKINSON SOCCER CLUB

Field Data
EIN 46-2757057
Case Number EO-2017256-000246
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DICKINSON SOCCER CLUB
Organization’s Mailing Address 3389 8TH AVE EAST
City DICKINSON
State ND
ZIP 58601
Accounting period End 12
Primary contact name SHANNON SELLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNON SELLE
PRESIDENT
3389 8TH AVE E
DICKINSON ND 58601

Officer/Director/Trustee Two

RISA NODLAND
VICE PRESIDENT
698 CUSTER STREET
DICKINSON ND 58601

Officer/Director/Trustee Three

JENNIFER HUGHES
TREASURE
3389 8TH AVE E
DICKINSON ND 58601

Officer/Director/Trustee Four

COURTNEY WILLIAMS
SECRETARY
3389 8TH AVE E
DICKINSON ND 58601

Officer/Director/Trustee Five

CELESTE HUGHES
RECREATIONAL COORDINATOR
3389 8TH AVE E
DICKINSON ND 58601

Organization’s website WWW.DICKINSONSOCCER.COM
Organization’s email DICKINSONSOCCERCLUB@NDSUPERNET.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/2013
Organization Incorporation State ND
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 Yes
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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