FORM 1023-EZ for IPSWICH SOCCER ASSOCIATION

Field Data
EIN 54-2146213
Case Number EO-2015049-000057
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IPSWICH SOCCER ASSOCIATION
Organization’s Mailing Address PO BOX 334
City IPSWICH
State SD
ZIP 57451-0334
Accounting period End 12
Primary contact name JEROMY LOKEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEROMY LOKEN
PRESIDENT
206 7TH ST
IPSWICH SD 57451

Officer/Director/Trustee Two

LORI BOETTCHER
VICE PRESIDENT
GENERAL DELIVERY
IPSWICH SD 57451

Officer/Director/Trustee Three

MISSY KLEFFMAN
SECRETARY/TREASURER
PO BOX 321
IPSIWCH SD 57451

Officer/Director/Trustee Four

JESSICA OLIVIER
REGISTRAR
35187 132ND ST
IPSWICH SD 57451

Officer/Director/Trustee Five

ASHLI MILLER
RISK MANAGER
37262 135TH ST
MINA SD 57451

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2014
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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