FORM 1023-EZ for FC LAFAYETTE

Field Data
EIN 85-2195169
Case Number EO-2020212-000054
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FC LAFAYETTE
Organization’s Mailing Address 935 IN-25
City LAFAYETTE
State IN
ZIP 47909
Accounting period End 12
Primary contact name JUAN MORALES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUAN MORALES
CHAIRMAN
710 VETERANS MEMORIAL PARKWAY
LAFAYETTE IN 47909

Officer/Director/Trustee Two

OSCAR TREJO
VICE PRESIDENT
1529 FERRY ST APT 5
LAFAYETTE IN 47905

Officer/Director/Trustee Three

PETER TRIBBLE
TEASURER
8103 150 S
LAFAYETTE IN 47905

Officer/Director/Trustee Four

GEORGE EUFRACIO
SECRETARY
3209 CROSSPOINT CT N
LAFAYETTE IN 47909

Organization’s website
Organization’s email FCLAFAYETTE1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2019
Organization Incorporation State IN
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 No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 JUAN MORALES
Signature Title CHAIRMAN
Signature Date 7/28/2020

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