FORM 1023-EZ for CLINTON COUNTY FUTBOL CLUB INC

Field Data
EIN 85-4150919
Case Number EO-2021036-000137
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLINTON COUNTY FUTBOL CLUB INC
Organization’s Mailing Address 4777 SAINTSBURY CT
City LAFAYETTE
State IN
ZIP 47909
Accounting period End 12
Primary contact name MICHAEL PUTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL PUTT
PRESIDENT
1926 JONES PL
KOKOMO IN 46902

Officer/Director/Trustee Two

ALEX RAMOS
VICE PRESIDENT
4777 SAINTSBURY CT
LAFAYETTE IN 47909

Officer/Director/Trustee Three

JOHN ROBERTS
TREASURER
506 S GENTRY ST
FRANKFORT IN 46041

Officer/Director/Trustee Four

DIANA DAVIS
SECRETARY
704 JOHN ST
FRANKFORT IN 46041

Organization’s website CC-SOCCER.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/2020
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
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 MICHAEL PUTT
Signature Title PRESIDENT
Signature Date 12/18/2020

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