FORM 1023-EZ for HAYS SOCCER CLUB

Field Data
EIN 43-1880319
Case Number EO-2015016-000069
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAYS SOCCER CLUB
Organization’s Mailing Address PO BOX 1394
City HAYS
State KS
ZIP 67601
Accounting period End 12
Primary contact name TAMI ROBBEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFF DINKEL
PRESIDENT
3909 FAIRWAY DR
HAYS KS 67601

Officer/Director/Trustee Two

CHRIS WENTE
VICE PRESIDENT
3702 JP DRIVE
HAYS KS 67601

Officer/Director/Trustee Three

MARK ST PETER
SECRETARY
1924 HOLMES RD
HAYS KS 67601

Officer/Director/Trustee Four

TAMI ROBBEN
TREASURER
4418 LARNED CR
HAYS KS 67601

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2000
Organization Incorporation State KS
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: 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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