FORM 1023-EZ for SIERRA VISTA ADULT SOCCER LEAGUE

Field Data
EIN 84-1790638
Case Number EO-2019176-000622
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIERRA VISTA ADULT SOCCER LEAGUE
Organization’s Mailing Address 4652 S SKY DANCE LN
City SIERRA VISTA
State AZ
ZIP 85650
Accounting period End 3
Primary contact name SUSANNE HIMSTEDT-GILBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YOUNG FORMA
PRESIDENT
1201 GOLF LINKS ROAD
SIERRA VISTA AZ 85635

Officer/Director/Trustee Two

LURA STILLER
OFFICER
2131 WILDE WOOD CT
SIERRA VISTA AZ 85635

Officer/Director/Trustee Three

SUSANNE HIMSTEDT-GILBERT
TREASURER
4652 S SKY DANCE LN
SIERRA VISTA AZ 85650

Officer/Director/Trustee Four

YVETTE GALLEW
SECRETARY
PO BOX 914
HEREFORD AZ 85615

Officer/Director/Trustee Five

JESSICA KUNKEL
VICE- PRESIDENT
514 W MALLARD CIR
SIERRA VISTA AZ 85635

Organization’s website
Organization’s email SUSIHG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/19
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: 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 SUSANNE HIMSTEDT-GILBERT
Signature Title TREASURER
Signature Date 6/23/19

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