FORM 1023-EZ for BLUFFTON SOCCER CLUB

Field Data
EIN 27-2808132
Case Number EO-2014322-000156
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUFFTON SOCCER CLUB
Organization’s Mailing Address 7960 ROCKPORT RD
City BLUFFTON
State OH
ZIP 45817
Accounting period End 12
Primary contact name LARRY HOFFMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RON KOONTZ
PRESIDENT
7960 ROCKPORT RD
BLUFFTON OH 45817

Officer/Director/Trustee Two

DAN LEE
VICE PRESIDENT
420 S JACKSON ST
BLUFFTON OH 45817

Officer/Director/Trustee Three

LARRY HOFFMAN
TREASURER
108 POLO
BLUFFTON OH 45817-2100

Officer/Director/Trustee Four

JEREMY SCOLES
SECRETARY
205 HILLCREST DRIVE
BLUFFTON OH 45817

Organization’s website WWW.BLUFFTONSOCCER.COM
Organization’s email RON@BLUFFTONSOCCER.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2010
Organization Incorporation State OH
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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