FORM 1023-EZ for MCINTOSH SOCCER BOOSTER CLUB INC

Field Data
EIN 46-4474511
Case Number EO-2015161-000515
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MCINTOSH SOCCER BOOSTER CLUB INC
Organization’s Mailing Address 383 BEAUMONT FARMS DR
City SHARPSBURG
State GA
ZIP 30277
Accounting period End 12
Primary contact name SHARON GIBSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHARON GIBSON
TREASUER
201 WALT BANKS ROAD
PEACHTREE CITY GA 30269

Officer/Director/Trustee Two

BYRON MOHNEY
PRESIDENT
201 WALT BANKS RD
PEACHTREE CITY GA 30269

Officer/Director/Trustee Three

DARRELL LAUX
1ST VICE PRESIDENT
201 WALT BANKS RD
PEACHTREE CITY GA 30269

Officer/Director/Trustee Four

MICHELENE CAPPAS
2ND VICE PRESIDENT
201 WALT BANKS RD
PEACHTREE CITY GA 30269

Officer/Director/Trustee Five

SHANNON DATTILO
SECRETARY
201 WALT BANKS RD
PEACHTREE CITY GA 30269

Organization’s website
Organization’s email SHARONMHSSOCCER@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2013
Organization Incorporation State GA
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
Signature Title
Signature Date

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