FORM 1023-EZ for ROSWELL HIGH SCHOOL SOCCER BOOSTERCLUB INC

Field Data
EIN 84-4868846
Case Number EO-2020058-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROSWELL HIGH SCHOOL SOCCER BOOSTERCLUB INC
Organization’s Mailing Address 11595 KING RD
City ROSWELL
State GA
ZIP 30075
Accounting period End 12
Primary contact name TUYET FERNANDES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TUYET FERNANDES
VICE PRESIDENT
FAWN RIDGE CT
ROSWELL GA 30075

Officer/Director/Trustee Two

GREG GRIFFITH
PRESIDENT
6060 GAINESWOOD DR
ROSWELL GA 30076

Officer/Director/Trustee Three

KIM HOUSE
TREASURER
535 HIGHLANDS OVERLOOK
ROSWELL GA 30075

Organization’s website HTTPS://ROSWELLATHLETICS.ORG/TEAMS/2656289/BOYS/SOCCER/VARSITY
Organization’s email TUYETF@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2020
Organization Incorporation State GA
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TUYET FERNANDES
Signature Title VICE PRESIDENT
Signature Date 2/25/2020

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