FORM 1023-EZ for XENIA HIGH SCHOOL MENS SOCCER BOOSTER CLUB
| Field | Data |
|---|---|
| EIN | 84-4013840 |
| Case Number | EO-2020049-000701 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | XENIA HIGH SCHOOL MENS SOCCER BOOSTER CLUB |
| Organization’s Mailing Address | 1426 |
| City | XENIA |
| State | OH |
| ZIP | 45385 |
| Accounting period End | 5 |
| Primary contact name | SAMANTHA KUNZELMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SAMANTHA KUNZELMAN
PRESIDENT
1426
XENIA OH 45385
Officer/Director/Trustee Two
CHRISTINA OBRYANT
VICE PRESIDENT
630 CHESTNUT ST
XENIA OH 45385
Officer/Director/Trustee Three
KRISTINE CUSHMAN
TREASURER
722 S DETROIT ST
XENIA OH 45385
Officer/Director/Trustee Four
BETHANY DYKMAN
SECRETARY
969 S DETROIT ST
XENIA OH 45385
| Organization’s website | |
|---|---|
| Organization’s email | XHSMENSSOCCERBOOSTERCLUB@GMAIL.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/18/2019 |
| Organization Incorporation State | OH |
| 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: 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | SAMANTHA KUNZELMAN |
| Signature Title | PRESIDENT |
| Signature Date | 2/16/2020 |
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