FORM 1023-EZ for SHARKS SOCCER SUPPORTERS

Field Data
EIN 83-3617900
Case Number EO-2019231-000312
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHARKS SOCCER SUPPORTERS
Organization’s Mailing Address 201 HEYMANN BLVD SUITE 24
City LAFAYETTE
State LA
ZIP 70503
Accounting period End 12
Primary contact name WILLIAM LARGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER BRIGGS
PRESIDENT
110 SOUTH LAKE CIR
YOUNGSVILLE LA 70592

Officer/Director/Trustee Two

RACHEL EDGE
SECRETARY
105 FAWN LANE
BROUSSARD LA 70518

Officer/Director/Trustee Three

MIKE WILLIAMS
VICE PRESIDENT
103 W BAYOU SHORE
LAFAYETTE LA 70508

Officer/Director/Trustee Four

JAMES ROGERS
VICE PRESIDENT
103 CYPRESS SUNSET DR
BROUSSARD LA 70518

Officer/Director/Trustee Five

WILLIAM LARGE
GENERAL COUNSEL
201 HEYMANN BLVD
LAFAYETTE LA 70503

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/18
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 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 WILLIAM LARGE
Signature Title GENERAL COUNSEL
Signature Date 8/15/19

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