FORM 1023-EZ for JACKSON SOCCER CLUB

Field Data
EIN 39-1834397
Case Number EO-2021263-000583
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSON SOCCER CLUB
Organization’s Mailing Address 6831 ENGE DR
City WEST BEND
State WI
ZIP 53090
Accounting period End 12
Primary contact name ADAM WENDORF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM WENDORF
PRESIDENT
6831 ENGE DE
WEST BEND WI 53090

Officer/Director/Trustee Two

RULENA GUENTHER
TREASURER
N144W15455 PIONEER RD
JACKSON WI 53037

Organization’s website JACKSONSOCCERCLUB.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents No
Organization Incorporation Date 10/10/1995
Organization Incorporation State WI
Contains Limitation No
Does not expressly empower No
Contains dissolution No
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration No
Signature Name ADAM WENDORF
Signature Title PRESIDENT
Signature Date 9/17/2021

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