FORM 1023-EZ for DEARBORN COUNTY SOCCER CLUB INC

Field Data
EIN 87-0849886
Case Number EO-2021165-000206
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEARBORN COUNTY SOCCER CLUB INC
Organization’s Mailing Address 6930 KAISER DRIVE
City LAWRENCEBURG
State IN
ZIP 47025
Accounting period End 5
Primary contact name MELISSA LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY COTTON
PRESIDENT
5797 JANDEL DR
AURORA IN 47001

Officer/Director/Trustee Two

DANNY LEWIS
VICE PRESIDENT
6930 KAISER DRIVE
LAWRENCEBURG IN 47025

Officer/Director/Trustee Three

TIFFANY MANLIEF
SECRETARY
4870 S FARMERS RETREAT RD
DILLSBORO IN 47018

Officer/Director/Trustee Four

BARBARA TIBBS
TREASURER
5380 WILMINGTON PIKE
AURORA IN 47001

Officer/Director/Trustee Five

ERIK HAIL
MEMBER AT LARGE
13591 CHESTERVILLE RD
MOORES HILL IN 47032

Organization’s website
Organization’s email DEARBORNCOSC@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/2021
Organization Incorporation State IN
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: 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 Yes
Donation of funds Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DANNY LEWIS
Signature Title VICE PRESIDENT
Signature Date 6/10/2021

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