FORM 1023-EZ for FALCON TD CLUB INC

Field Data
EIN 47-3828537
Case Number EO-2015152-000162
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FALCON TD CLUB INC
Organization’s Mailing Address 400 S ROOSEVELT AVE
City BURLINGTON
State IA
ZIP 52601
Accounting period End 12
Primary contact name ERIC FRITZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARY STORCH
SECRETARY
414 BALLARD ST
WEST BURLINGTON IA 52655

Officer/Director/Trustee Two

MICHELLE MURPHY
PRESIDENT
4751 155TH AVE
BURLINGTON IA 52601

Officer/Director/Trustee Three

JAKE SEITZ
VICE PRESIDENT
RR 1 BOX 96
GLADSTONE IL 61437

Officer/Director/Trustee Four

ERIC FRITZ
TREASURER
400 S ROOSEVELT AVE
BURLINGTON IA 52601

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2015
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football 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 Yes
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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