FORM 1023-EZ for PINK PANTHERS SOCCER CLUB NFP

Field Data
EIN 35-2478461
Case Number EO-2014227-000155
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PINK PANTHERS SOCCER CLUB NFP
Organization’s Mailing Address 896 FOREST VIEW WAY
City ANTIOCH
State IL
ZIP 60002
Accounting period End 12
Primary contact name BYRON M BEST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GREGORY GOMEZ
PRESIDENT
896 FOREST VIEW WAY
ANTIOCH IL 60002

Officer/Director/Trustee Two

DAVE BUCKNER
VICE PRESIDENT
18857 WILDFLOWER WAY
LAKE VILLA IL 60046

Officer/Director/Trustee Three

DANIEL STROMSLAND
SECRETARY
693 PROVIDENCE LANE
LINDENHURST IL 60046

Officer/Director/Trustee Four

BYRON BEST
TREASURER
18730 WESTWOOD PLACE
LAKE VILLA IL 60046

Officer/Director/Trustee Five

DEBBY DUNNE
PARENT/PLAYER ADVOCATE
737 SOUTHWIND DR
LAKE VILLA IL 60046

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/2014
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: No
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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