FORM 1023-EZ for COLUMBIA SOCCER ASSOCIATION

Field Data
EIN 75-3014234
Case Number EO-2018255-000235
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLUMBIA SOCCER ASSOCIATION
Organization’s Mailing Address PO BOX 423
City COLUMBIA STATION
State OH
ZIP 44028
Accounting period End 12
Primary contact name ROBERT PETRAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT PETRAS
PRESIDENT
24109 FORESTVIEW DR
COLUMBIA STATION OH 44028

Officer/Director/Trustee Two

BRIAN ARCURI
VICE PRESIDENT
9620 ROOT ROAD
COLUMBIA STATION OH 44028

Officer/Director/Trustee Three

JASON CASE
TREASURER
5390 MANNING COURT
NORTH RIDGEVILLE OH 44039

Organization’s website HTTP://COLUMBIAYOUTHSOCCER.ORG/
Organization’s email COLUMBIAYOUTHSOCCER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/02
Organization Incorporation State OH
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: 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 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 ROBERT PETRAS
Signature Title PRESIDENT
Signature Date 9/10/18

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