FORM 1023-EZ for PIONEER SOCCER BOOSTERS INCORPORATED

Field Data
EIN 81-1440310
Case Number EO-2016063-000092
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PIONEER SOCCER BOOSTERS INCORPORATED
Organization’s Mailing Address PO BOX 348
City DEERFIELD
State WI
ZIP 53531
Accounting period End 12
Primary contact name RONALD APLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RONALD APLIN
DIRECTOR
PO BOX 348
DEERFIELD WI 53531

Officer/Director/Trustee Two

LISA IBINGER
VP FOR FAMILY RELATIONS
1004 ERIC LANE
WAUNAKEE WI 53597

Officer/Director/Trustee Three

SCOTT SIBIK
VP FOR ALUMNI RELATIONS
1306 3RD AVE NORTH
ONALASKA WI 54650

Officer/Director/Trustee Four

TIM RYAN
SECRETARY/TREASURER
5515 MONONA DRIVE
MONONA WI 53716

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: Yes
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 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 Yes
One Third Support Gifts No
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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