FORM 1023-EZ for ESTES VALLEY SOCCER CLUB

Field Data
EIN 82-4424036
Case Number EO-2018047-000254
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ESTES VALLEY SOCCER CLUB
Organization’s Mailing Address POBOX2453
City ESTES PARK
State CO
ZIP 80517
Accounting period End 6
Primary contact name RICHARD D SOMERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD SOMERS
CHAIRPERSON AND PRESIDENT
6500 HIGHWAY 36
ESTES PARK CO 80517

Officer/Director/Trustee Two

JEFF KLIPSTEIN
VICE PRESIDENT
1681 PTARMIGAN LANE
ESTES PARK CO 80517

Officer/Director/Trustee Three

KEVIN ATEN
BOARD MEMBER
1605 BRODIE AVE
ESTES PARK CO 80517

Officer/Director/Trustee Four

CONSTANCE SOMERS
BOARD MEMBER
6500 HIGHWAY 36
ESTES PARK CO 80517

Organization’s website
Organization’s email ESTESVALLEY.SOCCER.CLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/18
Organization Incorporation State CO
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 RICHARD SOMERS
Signature Title CHAIRPERSON AND PRESIDENT
Signature Date 2/14/18

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