FORM 1023-EZ for CUMBERLAND UNITED FC INC

Field Data
EIN 47-1113163
Case Number EO-2019094-000355
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CUMBERLAND UNITED FC INC
Organization’s Mailing Address 117 N MAIN ST
City SOMERSET
State KY
ZIP 42501
Accounting period End 12
Primary contact name JOHN GILLLUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN GILLLUM
DIRECTOR
117 N MAIN STREET
SOMERSET KY 42501

Officer/Director/Trustee Two

CHRIS HIGGINS
DIRECTOR
117 N MAIN STREET
SOMERSET KY 42501

Officer/Director/Trustee Three

ARMANDO CIMA
DIRECTOR
117 N MAIN ST
SOMERSET KY 42501

Officer/Director/Trustee Four

BEN ROBERTSON
DIRECTOR
117 N MAIN ST
SOMERSET KY 42501

Officer/Director/Trustee Five

TIM SHADOAN
DIRECTOR
117 N MAIN ST
SOMERSET KY 42501

Organization’s website
Organization’s email JOHNSGILLUM@WINDSTREAM.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/14
Organization Incorporation State KY
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 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 JOHN GILLLUM
Signature Title DIRECTOR
Signature Date 4/2/19

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