FORM 1023-EZ for SOUTHERN MO SOCCER ACADEMY INC

Field Data
EIN 81-0789239
Case Number EO-2015355-000247
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN MO SOCCER ACADEMY INC
Organization’s Mailing Address 1270 EAST CARLTON
City SPRINGFIELD
State MO
ZIP 65804
Accounting period End 12
Primary contact name TIM MURPHY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KRISTI NELSON
PRESIDENT
3420 W MOARK
SPRINGFIELD MO 65810

Officer/Director/Trustee Two

DENISE MARLIN
VICE PRESIDENT
2943 RIDGEWOOD LANE
SPRINGFIELD MO 65809

Officer/Director/Trustee Three

HOLLY RASMUSSEN
TREASURER
6944 STATE HWY C
MARSHFIELD MO 65706

Officer/Director/Trustee Four

KEVIN EASLEY
DIRECTOR
810 EAST ROCK CREEK RD
OZARK MO 65721

Officer/Director/Trustee Five

JIM MCCULLOCH
DIRECTOR
901 N 15TH
OZARK MO 65721

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2015
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
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 Yes
One Third Support Gifts No
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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