FORM 1023-EZ for PIPER SOCCER CLUB

Field Data
EIN 47-4686845
Case Number EO-2016144-000044
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PIPER SOCCER CLUB
Organization’s Mailing Address 4400 N 170TH STREET
City KANSAS CITY
State KS
ZIP 66109
Accounting period End 12
Primary contact name THEODORE MEIERS SR CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON MALASCHAK
PRESIDENT OF OPERATIONS
4400 N 17OTH STREET
KANSAS CITY KS 66109

Officer/Director/Trustee Two

MARK SORENSON
TREASURER
4400 N 17OTH STREET
KANSAS CITY KS 66109

Officer/Director/Trustee Three

JILL GONZALEZ
SECRETARY
4400 N 17OTH STREET
KANSAS CITY KS 66109

Officer/Director/Trustee Four

MIKE GONZALEZ
PROMOTIONS DIRECTOR
4400 N 17OTH STREET
KANSAS CITY KS 66109

Officer/Director/Trustee Five

THEODORE MEIERS SR
OFFICER
4400 N 17OTH STREET
KANSAS CITY KS 66109

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/2016
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 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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