FORM 1023-EZ for CONFLUENCE SOCCER CLUB

Field Data
EIN 47-5159012
Case Number EO-2015272-000343
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONFLUENCE SOCCER CLUB
Organization’s Mailing Address 727 GRAND AVE
City DELTA
State CO
ZIP 81416
Accounting period End 12
Primary contact name WENDI THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WENDI THOMPSON
PRESIDENT
737 GRAND AVE
DELTA CO 81416

Officer/Director/Trustee Two

DANIELLE ANGOTTI
VICE PRESIDENT
521 E 19TH ST
DELTA CO 81416

Officer/Director/Trustee Three

TYLER JOHNSON
TREASURER
8438 2085 RD
AUSTIN CO 81410

Officer/Director/Trustee Four

DANA FARMER
SECRETARY
PO BOX 426
COREY CO 81414

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2015
Organization Incorporation State CO
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: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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 Yes
One Third Support Gifts No
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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