FORM 1023-EZ for HOLLY BEACH CIVIC ASSOCIATION INC

Field Data
EIN 32-0542082
Case Number EO-2017268-000116
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOLLY BEACH CIVIC ASSOCIATION INC
Organization’s Mailing Address 6313 HOLLY TRAIL
City GLOUCESTER
State VA
ZIP 23061
Accounting period End 12
Primary contact name ALETHEA DIXON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN COYNE
PRESIDENT
6313 HOLLY TRAIL
GLOUCESTER VA 23061

Officer/Director/Trustee Two

DIANA JOHNSON
VICE PRESIDENT
6313 HOLLY TRAIL
GLOUCESTER VA 23061

Officer/Director/Trustee Three

MARY VIAR-COYNE
TREASURER
6313 HOLLY TRAIL
GLOUCESTER VA 23061

Officer/Director/Trustee Four

ALETHEA DIXON
SECRETARY
6313 HOLLY TRAIL
GLOUCESTER VA 23061

Organization’s website
Organization’s email VA.HBCA.SECRETARY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/1972
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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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