FORM 1023-EZ for SALEM GIRLS SOCCER BOOSTER CLUB

Field Data
EIN 81-1740398
Case Number EO-2016104-000052
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SALEM GIRLS SOCCER BOOSTER CLUB
Organization’s Mailing Address 1652 MILLBROOK RD
City CANTON
State MI
ZIP 48188
Accounting period End 7
Primary contact name NANCY M KATULSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER SIMKO
PRESIDENT AND TREASURER
1652 MILLBROOK RD
CANTON MI 48188-2057

Officer/Director/Trustee Two

NANCY KATULSKI
VICE PRESIDENT
12350 N RIDGE RD
PLYMOUTH MI 48170-2826

Officer/Director/Trustee Three

WALESKA MARTIN
SECRETARY
49086
CANTON MI 48188-1597

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 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 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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