FORM 1023-EZ for PUTNAM AREA SOCCER

Field Data
EIN 84-3983400
Case Number EO-2021152-000499
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PUTNAM AREA SOCCER
Organization’s Mailing Address 633 CARDINAL LANE
City CONTINENTAL
State OH
ZIP 45831-9262
Accounting period End 12
Primary contact name SARAH NIESE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYLE VERHOFF
OFFICER
14571 ROAD M
OTTAWA OH 45875-9555

Officer/Director/Trustee Two

SARAH NIESE
OFFICER
633 CARDINAL LANE
CONTINENTAL OH 45831-9262

Officer/Director/Trustee Three

AUSTIN VARNER
OFFICER
17484 HARRIS RD
DEFIANCE OH 43512-8097

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/2019
Organization Incorporation State OH
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 SARAH NIESE
Signature Title OFFICER
Signature Date 5/27/2021

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