FORM 1023-EZ for BARBOUR COUNTY YOUTH SOCCER

Field Data
EIN 80-0161835
Case Number EO-2015316-000385
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BARBOUR COUNTY YOUTH SOCCER
Organization’s Mailing Address PO BOX 111
City BELINGTON
State WV
ZIP 26250
Accounting period End 6
Primary contact name MELODY JONES CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KELLY HAWKINS
PRESIDENT
778 NO BIZ LANE
PHILIPPI WV 26416

Officer/Director/Trustee Two

WILLIAM GREGORY
VICE PRESIDENT
45 MIDWAY ROAD
PHILIPPI WV 26416

Officer/Director/Trustee Three

JENNIFER PHILLIPS
SECRETARY
PEADITTLE ROAD
PHILIPPI WV 26416

Officer/Director/Trustee Four

PAM DROOGER
DIRECTOR
554 SHEPHERDS FIELD LANE
PHILIPPI WV 26416

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/1981
Organization Incorporation State WV
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: Yes
Religious: No
Educational: No
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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