FORM 1023-EZ for GROVE SOCCER CLUB

Field Data
EIN 47-4118326
Case Number EO-2015169-000166
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GROVE SOCCER CLUB
Organization’s Mailing Address PO BOX 452661
City GROVE
State OK
ZIP 74345
Accounting period End 2
Primary contact name PAUL DUFFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL DUFFIELD
PRESIDENT
25330 S 605 LANE
GROVE OK 74344

Officer/Director/Trustee Two

TIFFANIE NUTT
TREASURER
702 E 7TH ST
GROVE OK 74344

Officer/Director/Trustee Three

DEWAYNE HEFFELEMAN
VICE PRESIDENT
PO BOX 452661
GROVE OK 74345

Officer/Director/Trustee Four

SAMANTHA LANE
SECRETARY
PO BOX 452661
GROVE OK 74345

Officer/Director/Trustee Five

SARAH JONES
REGISTRAR
PO BOX 452661
GROVE OK 74345

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2015
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 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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