FORM 1023-EZ for OMAHA STREET SOCCER

Field Data
EIN 86-1499521
Case Number EO-2021085-000292
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OMAHA STREET SOCCER
Organization’s Mailing Address 7106 N 140 AVE
City OMAHA
State NE
ZIP 68142
Accounting period End 12
Primary contact name MARY MATTHEWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY MATTHEWS
PRESIDENT, TREASURER
7106 N 140 AVE
OMAHA NE 68142

Officer/Director/Trustee Two

JASON SIZEMORE
DIRECTOR
7106 N 140 AVE
OMAHA NE 68142

Officer/Director/Trustee Three

JOSE VARGAS
DIRECTOR
7106 N 140 AVE
OMAHA NE 68142

Organization’s website WWW.OMAHASTREETSOCCER.COM
Organization’s email MARY@OMAHASTREETSOCCER.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2021
Organization Incorporation State NE
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: 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 MARY MATTHEWS
Signature Title PRESIDENT, TREASURER
Signature Date 2/2/2021

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