FORM 1023-EZ for CALIFORNIA SOCCER FOUNDATION

Field Data
EIN 82-5497700
Case Number EO-2018162-000174
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CALIFORNIA SOCCER FOUNDATION
Organization’s Mailing Address 6040 COMFORT CT
City CARMICHAEL
State CA
ZIP 95608
Accounting period End 12
Primary contact name KAREL PROCHAZKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREL PROCHAZKA
CHAIRMAN
6040 COMFORT CT
CARMICHAEL CA 95608

Officer/Director/Trustee Two

MIKE SHIPMAN
SECRETARY
5626 HINDON WAY
CITRUS HEIGHTS CA 95621

Officer/Director/Trustee Three

BRYAN HOLLAND
TREASURER
1850 FAIRCHILD DR
CARMICHAEL CA 95608

Organization’s website WWW.CALSF.ORG
Organization’s email KAREL@CALSF.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: Yes
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 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 KAREL PROCHAZKA
Signature Title CHAIRMAN
Signature Date 6/6/18

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