FORM 1023-EZ for PETRICHOR
| Field | Data |
|---|---|
| EIN | 82-4168602 |
| Case Number | EO-2018059-000288 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PETRICHOR |
| Organization’s Mailing Address | 1683 HAWTHORNE CT |
| City | WINONA LAKE |
| State | IN |
| ZIP | 46590 |
| Accounting period End | 4 |
| Primary contact name | PAUL DREISBACH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PAUL DREISBACH
PRESIDENT
10940 SW LANCASTER RD
PORTLAND OR 97219
Officer/Director/Trustee Two
JORDAN CONE
VICE PRESIDENT
1130 COUNTRY CLUB RD
WARSAW IN 46580
Officer/Director/Trustee Three
JAY HOCKING
SECRETARY
7235 NE SISKIYOU ST
PORTLAND OR 97213
| Organization’s website | WWW.PETRICHORFOOTBALL.COM |
|---|---|
| Organization’s email | PETRICHORFOOTBALL@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/20/17 |
| Organization Incorporation State | IN |
| 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: Yes Religious: No Educational: Yes 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 | Yes |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | Yes |
| 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 | PAUL DREISBACH |
| Signature Title | PRESIDENT |
| Signature Date | 2/26/18 |
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