FORM 1023-EZ for PAHRUMP JR TROJANS SOCCER CLUB

Field Data
EIN 82-2505946
Case Number EO-2018106-001110
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAHRUMP JR TROJANS SOCCER CLUB
Organization’s Mailing Address 6170 LISA LN
City PAHRUMP
State NV
ZIP 89048
Accounting period End 7
Primary contact name RAQUEL SLUSHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAQUEL SLUSHER
PRESIDENT
6170 LISA LN
PAHRUMP NV 89048

Officer/Director/Trustee Two

NICK FLETCHER
VICE PRESIDENT
4211 ELVIRA
PAHRUMP NV 89048

Officer/Director/Trustee Three

CHRISTINA ROMAN
SECRETARY
2831 E DANDELION APT 29
PAHRUMP NV 89048

Officer/Director/Trustee Four

AMY CARLSON
TREASURER
3200 PAHRUMP VALLEY BLVD
PAHRUMP NV 89048

Officer/Director/Trustee Five

KIFFANY RESENDIZ
LEAGUE REPRESENTATIVE
5360 LINCOLNWOOD CT
PAHRUMP NV 89061

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/17
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
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 RAQUEL SLUSHER
Signature Title PRESIDENT
Signature Date 4/12/18

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