FORM 1023-EZ for THE PEA RIDGE THUNDER SOCCER CLUB

Field Data
EIN 47-4430568
Case Number EO-2015205-000459
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE PEA RIDGE THUNDER SOCCER CLUB
Organization’s Mailing Address PO BOX 1314
City PEA RIDGE
State AR
ZIP 72751
Accounting period End 7
Primary contact name NADINE TELGEMEIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

COREY SEARS
PRESIDENT
PO BOX 1314
PEA RIDGE AR 72751

Officer/Director/Trustee Two

VIRGINIA FORCE
TREASURER
PO BOX 1314
PEA RIDGE AR 72751

Officer/Director/Trustee Three

LEVI STATEN
VICE-PRESIDENT
PO BOX 1314
PEA RIDGE AR 72751

Officer/Director/Trustee Four

TARYN JONES
SECRETARY
PO BOX 1314
PEA RIDGE AR 72751

Officer/Director/Trustee Five

NADINE TELGEMEIER
REGISTRAR
15888 MARIANO ROAD
BENTONVILLE AR 72712

Organization’s website WWW.PEARIDGESOCCERCLUB.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/2015
Organization Incorporation State AR
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: 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 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
Signature Title
Signature Date

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