FORM 1023-EZ for CHAPEL HILL SOCCER CLUB

Field Data
EIN 83-3182915
Case Number EO-2019036-000910
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHAPEL HILL SOCCER CLUB
Organization’s Mailing Address PO BOX
City CHAPEL HILL
State TN
ZIP 34034
Accounting period End 12
Primary contact name AMBER SHEA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATY PFEIFER
REF/COACH DIRECTOR
1506 REBECCA AVE
CHAPEL HILL TN 37034

Officer/Director/Trustee Two

ELAINE CROWLEY
TREASUER
4059 CANEY CREEK LN
CHAPEL HILL TN 37034

Officer/Director/Trustee Three

GREG PENROD
SAFETY DIRECTOR
4048 CANEY CREEK LN
CHAPEL HILL TN 37034

Officer/Director/Trustee Four

TRISHA BLINCO
REGISTRAR/SECRETARY
3966 HONEYSUCKLE WAY
CHAPEL HILL TN 37034

Officer/Director/Trustee Five

AMBER SHEA
COMMISSIONER
4224 THICK RD
CHAPEL HILL TN 37034

Organization’s website
Organization’s email CHAPELHILLSOCCER@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AMBER SHEA
Signature Title COMMISSIONER
Signature Date 1/21/19

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