FORM 1023-EZ for KICKOFF SOCCER ACADEMY

Field Data
EIN 82-1562203
Case Number EO-2017139-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KICKOFF SOCCER ACADEMY
Organization’s Mailing Address 6016 DICK POND ROAD UNIT 310
City MYRTLE BEACH
State SC
ZIP 29588
Accounting period End 12
Primary contact name BETHUEL MAJA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BETHUEL MAJA
PRESIDENT
6016 DICK POND RD UNIT 310
MYRTLE BEACH SC 29588

Officer/Director/Trustee Two

BOITUMELO MASIBI
SECRETARY
6016 DICK POND RD UNIT 310
MYRTLE BEACH SC 29588

Officer/Director/Trustee Three

THOMAS TAMALE
VICE PRESIDENT
6016 DICK POND RD UNIT 310
MYRTLE BEACH SC 29588

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2017
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, 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
Signature Title
Signature Date

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