FORM 1023-EZ for CHESTERFIELD SOCCER YOUTH PROGRAM

Field Data
EIN 84-2597232
Case Number EO-2019228-000437
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHESTERFIELD SOCCER YOUTH PROGRAM
Organization’s Mailing Address PO BOX 103
City MOUNT CROGHAN
State SC
ZIP 29727
Accounting period End 12
Primary contact name ELIZABETH LEONARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH LEONARD
CHIEF OPERATING OFFICER
39 BART THURMAN RD
MOUNT CROGHAN SC 29727-103

Officer/Director/Trustee Two

JENNIFER DEMBY
CHIEF FINANCIAL OFFICER/DIRECTOR
115 COTTON STREET
CHESTERFIELD SC 29709

Officer/Director/Trustee Three

CARMELO NAJERA
CHAIRPERSON OF THE GOVERNING BODY
39 BART THURMAN RD
MOUNT CROGHAN SC 29727-103

Officer/Director/Trustee Four

GREGORY PERRY
DIRECTOR
1203 MARKET STREET
RUBY SC 29741

Officer/Director/Trustee Five

JAMES GRIGGS
DIRECTOR
1888 TED MELTON RD
CHESTERFIELD SC 29709

Organization’s website
Organization’s email CHESTERFIELDSOCCER19@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/19
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 ELIZABETH LEONARD
Signature Title CHIEF OPERATING OFFICER
Signature Date 8/14/19

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