FORM 1023-EZ for ORBIT FUTBOL CLUB INC

Field Data
EIN 45-5612756
Case Number EO-2015140-000299
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ORBIT FUTBOL CLUB INC
Organization’s Mailing Address 1297
City BEDFORD
State IN
ZIP 47421
Accounting period End 12
Primary contact name AMANDA WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAMAL GIRGIS
PRESIDENT
PO BOX 1297
BEDFORD IN 47421

Officer/Director/Trustee Two

JASON HARDING
VICE PRESIDENT
ROCKY CREEK EAST
BEDFORD IN 47421

Officer/Director/Trustee Three

DANIEL BRAZZELL
SECRETARY
GOOSETOWN ROAD
BEDFORD IN 47421

Officer/Director/Trustee Four

AMANDA WILSON
TREASURER
1424 FAIRVIEW MUNDELL ROAD
HELTONVILLE IN 47436

Organization’s website ORBITFC.ORG
Organization’s email INFO@ORBITFC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/2012
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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