FORM 1023-EZ for HENDERSON COUNTY SOCCER ASSOCIATION

Field Data
EIN 85-3222576
Case Number EO-2020279-000214
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HENDERSON COUNTY SOCCER ASSOCIATION
Organization’s Mailing Address PO BOX 1771
City ATHENS
State TX
ZIP 75751
Accounting period End 8
Primary contact name KRYSTAL RIOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT STOREY
PRESIDENT
103 PARSONS PARKWAY
ATHENS TX 75751

Officer/Director/Trustee Two

MATTHEW OTTABERRY
VICE PRESIDENT
2811 COUNTY ROAD 3826
ATHENS TX 75752

Officer/Director/Trustee Three

BRANDON OCHOA
TREASURER
403 W COLLEGE ST
ATHENS TX 75751

Officer/Director/Trustee Four

KRYSTAL RIOS
REGISTRAR
PO BOX 1840
ATHENS TX 75751

Officer/Director/Trustee Five

BRIAN JACKSON
SECRETARY
100 E CLINTON AVE
ATHENS TX 75751

Organization’s website HCSA.GOTSPORT.COM
Organization’s email HCSA99@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 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 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 KRYSTAL RIOS
Signature Title REGISTRAR
Signature Date 10/1/2020

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