FORM 1023-EZ for SOUTHWEST MICHIGAN KICKERS SOCCER FOUNDATION

Field Data
EIN 46-0980661
Case Number EO-2015358-000016
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHWEST MICHIGAN KICKERS SOCCER FOUNDATION
Organization’s Mailing Address 1463 MULBERY LANE
City ST. JOSEPH
State MI
ZIP 49085
Accounting period End 12
Primary contact name MARK A MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GILBERT URBAN
PRESIDENT
1463 MULBERY LANE
ST. JOSEPH MI 49085

Officer/Director/Trustee Two

RONALD SCHULTS
VICE PRESIDENT
103 LIGHTHOUSE DUNES PARK
ST. JOSEPH MI 49085

Officer/Director/Trustee Three

DAVID BOELCKE
SECRETARY
2675 FRANKLIN STREET
STEVENSVILLE MI 49127

Officer/Director/Trustee Four

RYAN ARNT
TREASURER
4965 SCOTTDALE ROAD
ST. JOSEPH MI 49085

Officer/Director/Trustee Five

MICHAEL MATTI
DIRECTOR
2404 BUTTERFLY LANE
BERRIEN SPRINGS MI 49103

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2012
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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