FORM 1023-EZ for TULSA ATHLETIC SOCCER FOUNDATION

Field Data
EIN 81-5283445
Case Number EO-2017079-000095
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TULSA ATHLETIC SOCCER FOUNDATION
Organization’s Mailing Address 5615 S INDIANAPOLIS AVE
City TULSA
State OK
ZIP 74135
Accounting period End 12
Primary contact name HUGH M ROBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA BOULLT
PRESIDENT
5615 S INDIANAPOLIS AVE
TULSA OK 74135

Officer/Director/Trustee Two

DOUG WREN
TREASURER
4337 E 70TH STREET
TULSA OK 74136

Officer/Director/Trustee Three

BRADI GROSS
SECRETARY
11212 SOUTH 1ST STREET
JENKS OK 74037

Officer/Director/Trustee Four

MATTHEW BOULLT
DIRECTOR
1017 E 34TH STREET
TULSA OK 74105

Officer/Director/Trustee Five

KATHY SANNON
DIRECTOR
5220 E 105TH STREET
TULSA OK 74137

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2017
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - 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 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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