FORM 1023-EZ for CS INC

Field Data
EIN 87-2325315
Case Number EO-2021238-000377
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CS INC
Organization’s Mailing Address 536 TREMONT PARK RD SE
City LENOIR
State NC
ZIP 28645
Accounting period End 12
Primary contact name CHRIS MOLLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS MOLLES
DIRECTOR
536 TREMONT PARK RD SE
LENOIR NC 28645

Officer/Director/Trustee Two

ISHMAEL DULA
SECRETARY
272 WILDWOOD RD
LENOIR NC 28645

Officer/Director/Trustee Three

KRISTIAN MEDD
TREASURER
711 4TH AVE APT 4
CONOVER NC 28614

Organization’s website
Organization’s email INFO@CALDWELLSOCCER.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2021
Organization Incorporation State NC
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 CHRIS MOLLES
Signature Title DIRECTOR
Signature Date 8/24/2021

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