FORM 1023-EZ for LADY JAYS SOCCER BOOSTER CLUB

Field Data
EIN 87-1443886
Case Number EO-2021270-000769
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LADY JAYS SOCCER BOOSTER CLUB
Organization’s Mailing Address 2924 WAKODA DRIVE
City JEFFERSON CITY
State MO
ZIP 65101
Accounting period End 6
Primary contact name JULIE A MCMILLIAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHRYN LEARY
PRESIDENT
1003 EL DORADO DRIVE
JEFFERSON CITY MO 65101

Officer/Director/Trustee Two

KEITH KEMPKER
VICE PRESIDENT
11422 VALLEY VIEW COURT
HOLTS SUMMIT MO 65043

Officer/Director/Trustee Three

JULIE MCMILLIAN
TREASURER
2924 WAKODA DRIVE
JEFFERSON CITY MO 65101

Organization’s website NA
Organization’s email MACTHEWIFE37@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2021
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 JULIE MCMILLIAN
Signature Title TREASURER
Signature Date 9/25/2021

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