FORM 1023-EZ for DUBLIN SCIOTO GIRLS SOCCER BOOSTERS

Field Data
EIN 41-2250700
Case Number EO-2014251-000381
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DUBLIN SCIOTO GIRLS SOCCER BOOSTERS
Organization’s Mailing Address 8263 BIBURY LANE
City DUBLIN
State OH
ZIP 43016
Accounting period End 6
Primary contact name MELISSA M HOWARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MIKE MCFADDEN
PRESIDENT
7702 KELLY DRIVE
DUBLIN OH 43016

Officer/Director/Trustee Two

NADINE LAFOND
VICE PRESIDENT
2224 CLOVERDALE COURT
COLUMBUS OH 43235

Officer/Director/Trustee Three

KAMILAH PRINCE
SECRETARY
7484 BLOOMFIELD PLACE
DUBLIN OH 43016

Officer/Director/Trustee Four

MELISSA HOWARD
TREASURER
8263 BIBURY LANE
DUBLIN OH 43016

Organization’s website
Organization’s email DSLADYIRISHSOCCER@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 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
Signature Title
Signature Date

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