FORM 1023-EZ for SAVE THE BALL - SOCCER FOR AFRICA INC

Field Data
EIN 85-3119037
Case Number EO-2021063-000562
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAVE THE BALL - SOCCER FOR AFRICA INC
Organization’s Mailing Address 2636 FENNO DRIVE
City EDWARDS
State CO
ZIP 81632
Accounting period End 12
Primary contact name PATRICIA KLOEHN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA KLOEHN
PRESIDENT
2636 FENNO DRIVE
EDWARDS CO 81632

Officer/Director/Trustee Two

TIMOTHY KLOEHN
TREASURER
13026 S 78TH CT
PALOS HEIGHTS IL 60463

Officer/Director/Trustee Three

TRAVIS YOAKUM
DIRECTOR
789 LINCOLN AVE
CARBONDALE CO 81623

Officer/Director/Trustee Four

MICHAEL FLATO
DIRECTOR
1770 ALPINE DRIVE 3
VAIL CO 81657

Officer/Director/Trustee Five

PATTIE KLOEHN
DIRECTOR
2636 FENNO DRIVE
EDWARDS CO 81632

Organization’s website WWW.SAVETHEBALLSOCCERFORAFRICA.COM
Organization’s email PKLOEHN@HEALTHWIDESOLUTIONS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 Yes
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 PATRICIA KLOEHN
Signature Title PRESIDENT
Signature Date 12/31/2020

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