FORM 1023-EZ for CVHS BOYS SOCCER BOOSTER

Field Data
EIN 83-2535287
Case Number EO-2019037-000699
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CVHS BOYS SOCCER BOOSTER
Organization’s Mailing Address 19332 WEST OREGON AVENUE
City LITCHFIELD PARK
State AZ
ZIP 85340
Accounting period End 12
Primary contact name JAIME LUDKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAIME LUDKA
PRESIDENT
19332 WEST OREGON AVENUE
LITCHFIELD PARK AZ 85340

Officer/Director/Trustee Two

JULIA JEWELL
SECRETARY
19332 WEST OREGON AVENUE
LITCHFIELD PARK AZ 85340

Officer/Director/Trustee Three

KELLI FABELA
TREASURER
19332 WEST OREGON AVENUE
LITCHFIELD PARK AZ 85340

Officer/Director/Trustee Four

SANDRA MEJIA
DIRECTOR
19332 WEST OREGON AVENUE
LITCHFIELD PARK AZ 85340

Organization’s website
Organization’s email CVHSSOCCERBOOSTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/11/18
Organization Incorporation State AZ
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 JAIME LUDKA
Signature Title PRESIDENT
Signature Date 1/27/19

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