FORM 1023-EZ for BELLBROOK SOCCER BOOSTERS

Field Data
EIN 37-1842299
Case Number EO-2018340-000601
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BELLBROOK SOCCER BOOSTERS
Organization’s Mailing Address PO BOX 182
City BELLBROOK
State OH
ZIP 45305
Accounting period End 12
Primary contact name LISA BURKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROB REIGELSPERGER
PRESIDENT
3590 RIDGEWAY RD
BELLBROOK OH 45305

Officer/Director/Trustee Two

LISA BURKE
TREASURER
1428 CLIFFSIDE CT
DAYTON OH 45440

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/16
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 LISA BURKE
Signature Title TREASURER
Signature Date 12/4/18

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