FORM 1023-EZ for POWER STRIKERS SOCCER CLUB 09 LLC

Field Data
EIN 83-1331208
Case Number EO-2018207-000339
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POWER STRIKERS SOCCER CLUB 09 LLC
Organization’s Mailing Address 3553 WEST ARDMORE AVE
City CHICAGO
State IL
ZIP 60659-4435
Accounting period End 7
Primary contact name DAVID GARR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID GARR
OFFICER
3553 W ARDMORE AVE
CHICAGO IL 60659-4435

Officer/Director/Trustee Two

DAVID ROYSE
OFFICER
1447 WEST JARVIS
CHICAGO IL 60626-6296

Officer/Director/Trustee Three

JESSI BISHOP-ROYSE
OFFICER
1447 WEST JARVIS
CHICAGO IL 60626-6296

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/18
Organization Incorporation State IL
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: 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 Yes
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 DAVID GARR
Signature Title OFFICER
Signature Date 7/24/18

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