FORM 1023-EZ for WORLAND SOCCER ASSOCIATION

Field Data
EIN 82-4139563
Case Number EO-2018040-000252
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WORLAND SOCCER ASSOCIATION
Organization’s Mailing Address 3025 HIGHLAND RIDGE WAY
City WORLAND
State WY
ZIP 82401
Accounting period End 7
Primary contact name JENNIFER DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMBER CLARK
PRESIDENT
407 S 20TH ST
WORLAND WY 82401

Officer/Director/Trustee Two

MICHELLE NOLAND
VICE PRESIDENT
102 COUNTRY DR
WORLAND WY 82401

Officer/Director/Trustee Three

JENNIFER DAVIS
TREASURER
3025 HIGHLAND RIDGE WAY
WORLAND WY 82401

Officer/Director/Trustee Four

AMBER RAY
SECRETARY
2103 GREGG AVE
WORLAND WY 82401

Officer/Director/Trustee Five

MISTY ROBERTSON
REGISTRAR
2024 CLOUD PEAK DR
WORLAND WY 82401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/17
Organization Incorporation State WY
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 JENNIFER DAVIS
Signature Title TREASURER
Signature Date 2/7/18

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