FORM 1023-EZ for BURNS SOCCER LEAGUE

Field Data
EIN 47-2943801
Case Number EO-2015069-000859
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BURNS SOCCER LEAGUE
Organization’s Mailing Address 1334 LECOMTE RD
City DICKSON
State TN
ZIP 37055
Accounting period End 12
Primary contact name CHARLES MULLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON MORGAN
PRESIDENT
213 NAILS CRK RD
DICKSON TN 37055

Officer/Director/Trustee Two

KEITH MCVOY
VICE PRESIDENT
113 TICES SPRING CT
DICKSON TN 37055

Officer/Director/Trustee Three

MICHELLE CAVALLINI
SECRETARY/TREASURE
107 PHEASANT HOLLOW RD
DICKSON TN 37055

Officer/Director/Trustee Four

CHARLES MULLINS
DIRECTOR OF RISK MANAGEMENT
1334 LECOMTE RD
DICKSON TN 37055

Officer/Director/Trustee Five

BEN POPRAWSKI
DIRECTOR OF COACHES
103 PARKSIDE LANE
BURNS TN 37029

Organization’s website BURNS-SOCCER.COM
Organization’s email BURNS-SOCCER@COMCAST.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2015
Organization Incorporation State TN
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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