FORM 1023-EZ for LADY JAGUAR SOCCER BOOSTER CLUB

Field Data
EIN 73-1417347
Case Number EO-2017291-000239
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LADY JAGUAR SOCCER BOOSTER CLUB
Organization’s Mailing Address 12220 SOUTH VILLA AVENUE
City OKLAHOMA CITY
State OK
ZIP 73170-4814
Accounting period End 6
Primary contact name CLIFF SHERIFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEVON MCLEMORE
PRESIDENT
2804 SOUTHWEST 109TH
OKLAHOMA CITY OK 73170

Officer/Director/Trustee Two

CLIFF SHERIFF
TREASURER
12220 SOUTH VILLA AVENUE
OKLAHOMA CITY OK 73170-4814

Officer/Director/Trustee Three

CARLA TILLISON
SECRETARY
516 CEDAR DRIVE
BLANCHARD OK 73010

Officer/Director/Trustee Four

HOLLY STIMSON
MEMBER AT LARGE
1609 SOUTHWEST 123RD
OKLAHOMA CITY OK 73170

Officer/Director/Trustee Five

ROBERT WILLIAMS
HEAD COACH
12613 SOUTH WESTERN
OKLAHOMA CITY OK 73170

Organization’s website N/A
Organization’s email LADYJAGSSBC@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/2012
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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