FORM 1023-EZ for BONNE TERRE SOCCER CLUB

Field Data
EIN 81-2494415
Case Number EO-2017124-000238
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BONNE TERRE SOCCER CLUB
Organization’s Mailing Address 8842 RIDGECREST DRIVE
City VALLES MINES
State MO
ZIP 63087
Accounting period End 12
Primary contact name MICHAEL GILLIAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL GILLIAM
PRESIDENT
8842 RIDGECREST DR
VALLES MINES MO 63087

Officer/Director/Trustee Two

WILLARD HEDRICK
VICE PRESIDENT
12 W DESOTO
BONNE TERRE MO 63628

Officer/Director/Trustee Three

DARLEEN MARTIN
TREASURER
404 N LINCOLN ST
DESLOGE MO 63601

Officer/Director/Trustee Four

DONNA BAKER
SECRETARY
1947 ROSE COURT 1072
BONNE TERRE MO 63628

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/2016
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N01 - Alliance/Advocacy Organizations
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
Signature Title
Signature Date

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