FORM 1023-EZ for GENEVA LAKE UNITED SOCCER CLUB INC

Field Data
EIN 30-0629822
Case Number EO-2015029-000206
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GENEVA LAKE UNITED SOCCER CLUB INC
Organization’s Mailing Address PO BOX 85
City FONTANA
State WI
ZIP 53125
Accounting period End 12
Primary contact name MELINDA PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TAMI MARTIN
PRESIDENT
N1661 SIX CORNERS ROAD
WALWORTH WI 53184

Officer/Director/Trustee Two

EJ TUCHSCHERER
VICE PRESIDENT
W6032 WATER TOWER PLACE
WALWORTH WI 53184

Officer/Director/Trustee Three

MELINDA PETERSON
TREASURER
N755 SIX CORNERS ROAD
WALWORTH WI 53184

Officer/Director/Trustee Four

RENEE TORREZ
REGISTRAR
205 PRAIRIE DRIVE
WALWORTH WI 53184

Officer/Director/Trustee Five

RENE PEREZ
DIRECTOR OF COACHING
W565 ZENDA ROAD
ZENDA WI 53195

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/2011
Organization Incorporation State WI
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: 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
Signature Title
Signature Date

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