FORM 1023-EZ for FREE SOCCER AMERICA

Field Data
EIN 85-2262022
Case Number EO-2020216-000379
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FREE SOCCER AMERICA
Organization’s Mailing Address 10501 BELLEFONTAINE RD
City BELLEFONTAINE
State MO
ZIP 63137
Accounting period End 12
Primary contact name CLAYTON DELANEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLAYTON DELANEY
EXECUTIVE DIRECTOR
10501 BELLEFONTAINE RD
BELLEFONTAINE MO 63105-1878

Officer/Director/Trustee Two

ANGELIA BILLS
BOARD MEMBER
7733 FORSYTH BLVD 11TH FLOOR
FLORISSANT MO 63105

Officer/Director/Trustee Three

CLAUDIA MORAN
BOARD MEMBER
6923 AMHERST AVE
UNIVERSITY CITY MO 63130

Officer/Director/Trustee Four

CHRIS FOSTER
BOARD MEMBER
5434 GOETHE
ST. LOUIS MO 63109

Organization’s website
Organization’s email GODBODY88@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2020
Organization Incorporation State MO
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: 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 Yes
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 CLAYTON DELANEY
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/30/2020

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