FORM 1023-EZ for MADISON FUTBOL CLUB

Field Data
EIN 36-4488302
Case Number EO-2016305-000295
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MADISON FUTBOL CLUB
Organization’s Mailing Address 12424 N 32 STREET SUITE 100
City PHOENIX
State AZ
ZIP 85032
Accounting period End 12
Primary contact name COLEEN HAGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN GRUNEWALS
PRESIDENT
6744 NORTH 13 PLACE
PHOENIX AZ 85013

Officer/Director/Trustee Two

YUKON TOMISATO
TREASURER
6632 E OAK STREET
SCOTTSDALE AZ 85257

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2002
Organization Incorporation State AZ
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 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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