FORM 1023-EZ for DILLSBORO YOUTH SOCCER ASSOCIATION

Field Data
EIN 35-2011492
Case Number EO-2020197-000046
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DILLSBORO YOUTH SOCCER ASSOCIATION
Organization’s Mailing Address PO BOX 399
City DILLSBORO
State IN
ZIP 47018
Accounting period End 5
Primary contact name GREG HUGHES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREG HUGHES
TREASURER
7264 STATE RD 62
DILLSBORO IN 47018

Officer/Director/Trustee Two

JESSICA WISSMAN
PRESIDENT
11018 STOOPS RD
DILLSBORO IN 47018

Officer/Director/Trustee Three

SHANE GARDNER
VP
7987 BOCOCK RD
DILLSBORO IN 47018

Officer/Director/Trustee Four

KAITY MORTON
SECRETARY
10857 HIGHRIDGE RD
AURORA IN 47001

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/2003
Organization Incorporation State IN
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 Yes
Correctness Declaration Yes
Signature Name GREG HUGHES
Signature Title TREASURER
Signature Date 7/11/2020

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