FORM 1023-EZ for EHS SOCCER BOOSTER CLUB

Field Data
EIN 82-4269998
Case Number EO-2018053-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EHS SOCCER BOOSTER CLUB
Organization’s Mailing Address 1101 N WEST AVE
City EL DORADO
State AR
ZIP 71730
Accounting period End 1
Primary contact name GREG HUMPHREYS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY HENRY
PRESIDENT
363 SHADOW LANE
EL DORADO AR 71730

Officer/Director/Trustee Two

GREG HUMPHREYS
VICE PRESIDENT
226 DOGWOOD LANE
EL DORADO AR 71730

Officer/Director/Trustee Three

STERLING CLAYPOOLE
SECRETARY
629 NOLIA AVENUE
EL DORADO AR 71730

Officer/Director/Trustee Four

ALLISON PARKER
TREASURER
156 PARKER MEADOWS LANE
EL DORADO AR 71730

Officer/Director/Trustee Five

LUIS GUTIERREZ
DIRECTOR
602 E BLOCK
EL DORADO AR 71730

Organization’s website N/A
Organization’s email EHSSOCCERBC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/18
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 GREG HUMPHREYS
Signature Title VICE PRESIDENT
Signature Date 2/19/18

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