FORM 1023-EZ for STEWARTVILLE SOCCER BOOSTER CLUB

Field Data
EIN 35-2602424
Case Number EO-2017243-000176
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STEWARTVILLE SOCCER BOOSTER CLUB
Organization’s Mailing Address 3210 105TH ST SE
City STEWARTVILLE
State MN
ZIP 55976
Accounting period End 12
Primary contact name ROGER MUELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROGER MUELLER
PRESIDENT
3210 105TH ST SE
STEWARTVILLE MN 55976

Officer/Director/Trustee Two

PAMELA JONES
VICE PRESIDENT
511 FAIRWAY CT N
STEWARTVILLE MN 55976

Officer/Director/Trustee Three

JIM OTTO
TREASURER
307 4TH ST NE
STEWARTVILLE MN 55976

Officer/Director/Trustee Four

SARAH PEDELTY
SECRETARY
9724 CO RD 138 SE
CHATFIELD MN 55923

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2017
Organization Incorporation State MN
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: No
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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