FORM 1023-EZ for NORTHERN BUCKEYE UNITED SOCCER CLUB

Field Data
EIN 83-1233885
Case Number EO-2018234-000103
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN BUCKEYE UNITED SOCCER CLUB
Organization’s Mailing Address 362 VALLEY LANE
City PERRYSBURG
State OH
ZIP 43551
Accounting period End 6
Primary contact name ANTHONY BUREK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN OGDAHL
PRESIDENT
712 W IRONWOOD DRIVE
ROSSFORD OH 43460

Officer/Director/Trustee Two

ANTHONY BUREK
TREASURER
362 VALLEY LANE
PERRYSBURG OH 43551

Officer/Director/Trustee Three

JENNIFER WILLIAMS
TRUSTEE
1054 N IRONWOOD DR
ROSSFORD OH 43460

Officer/Director/Trustee Four

ALISON OGDAHL
TRUSTEE
712 W IRONWOOD DRIVE
ROSSFORD OH 43460

Officer/Director/Trustee Five

DANIEL ALMESTER
TRUSTEE
140 JENNINGS ST
ROSSFORD OH 43460

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/18
Organization Incorporation State OH
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: 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 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 ANTHONY BUREK
Signature Title TREASURER
Signature Date 8/20/18

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