FORM 1023-EZ for LOCKPORT SOCCER CLUB INC

Field Data
EIN 81-2905667
Case Number EO-2016231-000389
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOCKPORT SOCCER CLUB INC
Organization’s Mailing Address 16525 W 159TH STREET SUITE 316
City LOCKPORT
State IL
ZIP 60441
Accounting period End 12
Primary contact name JOHN DOMINA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN DOMINA
PRESIDENT
16514 S DORCESTER PLACE
LOCKPORT IL 60441

Officer/Director/Trustee Two

JOHN DOMINA
TREASURER
16514 S DORCESTER PLACE
LOCKPORT IL 60441

Officer/Director/Trustee Three

AMY DOMINA
SECRETARY
16514 S DORCESTER PLACE
LOCKPORT IL 60441

Officer/Director/Trustee Four

TRAVIS HUGHES
VICE-PRESIDENT
14664 ASTON WAY
LOCKPORT IL 60441

Organization’s website WWW.LOCKPORTSC.COM
Organization’s email ADMIN@LOCKPORTSC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/2016
Organization Incorporation State IL
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 Yes
Donation of funds Yes
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
Signature Title
Signature Date

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