FORM 1023-EZ for SEQUATCHIE COUNTY SOCCER CLUB INC

Field Data
EIN 47-1958059
Case Number EO-2014307-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SEQUATCHIE COUNTY SOCCER CLUB INC
Organization’s Mailing Address 547 HILL CIRCLE
City DUNLAP
State TN
ZIP 37327
Accounting period End 12
Primary contact name DAVID BRADY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID BRADY
PRESIDENT/DIRECTOR
547 HILL CIRCLE
DUNLAP TN 37327

Officer/Director/Trustee Two

DOUG SILVERS
TREASURER/DIRECTOR
12404 EAST VALLEY RD
DUNLAP TN 37327

Officer/Director/Trustee Three

KIM NUNLEY
SECRETARY
110 SUNSET CIRCLE
DUNLAP TN 37327

Officer/Director/Trustee Four

CHRIS CLEMMER
DIRECTOR
76 HUBERT HEARD RD
DUNLAP TN 37327

Officer/Director/Trustee Five

LOLLI ALLEN
DIRECTOR
10 KELL LOOP
DUNLAP TN 37327

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2014
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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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