FORM 1023-EZ for MESA SOCCER

Field Data
EIN 47-2885372
Case Number EO-2015026-000284
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MESA SOCCER
Organization’s Mailing Address 612 N STATE RD
City DAVISON
State MI
ZIP 48423
Accounting period End 12
Primary contact name RONALD THATCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN RILEY
CHAIRMAN
543 SEQUOIA
DAVISON MI 48423

Officer/Director/Trustee Two

DARLENE RILEY
SECRETARY
543 SEQUOIA
DAVISON MI 48423

Officer/Director/Trustee Three

RONALD THATCHER
TREASURER
2308 CHAMPIONSHIP CT
DAVISON MI 48423

Officer/Director/Trustee Four

KENT MUSSER
DIRECTOR
4025 AUTUMM HUE
DAVISON MI 48423

Organization’s website WWW.MESA-SOCCER.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2014
Organization Incorporation State MI
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: Yes
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 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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