FORM 1023-EZ for SHELBY YOUTH SOCCER ASSOCIATION SHELBY FUTBOL CLUB

Field Data
EIN 84-3213519
Case Number EO-2019339-000389
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHELBY YOUTH SOCCER ASSOCIATION SHELBY FUTBOL CLUB
Organization’s Mailing Address 135 WINDING WAY
City SHELBYVILLE
State KY
ZIP 40065
Accounting period End 11
Primary contact name TIMOTHY PADDON PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF BELCHER
VICE PRESIDENT / SECRETARY
103 PLANTATION DRIVE
SHELBYVILLE KY 40065

Officer/Director/Trustee Two

SERGIO COLE
VICE PRESIDENT / TREASURER
432 WARRIORS WAY
SHELBYVILLE KY 40065

Officer/Director/Trustee Three

TIMOTHY PADDON
PRESIDENT
135 WINDING WAY
SHELBYVILLE KY 40065

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/2019
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
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 TIMOTHY PADDON
Signature Title PRESIDENT
Signature Date 12/3/2019

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