FORM 1023-EZ for ATLANTIC SOCCER ASSOCIATION

Field Data
EIN 47-2542564
Case Number EO-2016242-000078
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ATLANTIC SOCCER ASSOCIATION
Organization’s Mailing Address 201 EAST 19TH STREET
City ATLANTIC
State IA
ZIP 50022
Accounting period End 12
Primary contact name DIANE EBLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN WILLIAMS
PRESIDENT
8 CASS AVENUE
ATLANTIC IA 50022

Officer/Director/Trustee Two

DIANE EBLEN
TREASURER
201 EAST 19TH STREET
ATLANTIC IA 50022

Officer/Director/Trustee Three

REBEKAH JENSEN
SECRETARY
57251 570TH ST
ATLANTIC IA 50022

Officer/Director/Trustee Four

MARVE EBLEN
PARK REC LIASON
201 EAST 19TH ST
ATLANTIC IA 50022

Officer/Director/Trustee Five

MARK MULLIN
COACHING COORDINATOR
1501 REDWOOD DRIVE
ATLANTIC IA 50022

Organization’s website WWW.ATLANTICSOCCERASSOCIATION.ORG
Organization’s email ATLANTICSOCCERASSOCIATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2014
Organization Incorporation State IA
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: 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 Yes
One Third Support Gifts No
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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