FORM 1023-EZ for SC TEAM HUSTLE WV

Field Data
EIN 84-4129889
Case Number EO-2020027-000403
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SC TEAM HUSTLE WV
Organization’s Mailing Address 230 STAUNTON AVE
City SOUTH CHARLESTON
State WV
ZIP 25303
Accounting period End 12
Primary contact name DERRICK C HOLMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERRICK HOLMES
PRESIDENT
230 STAUNTON AVE
SOUTH CHARLESTON WV 25303

Officer/Director/Trustee Two

MEGAN RUECKERT
VICE PRESIDENT
230 STAUNTON AVE
SOUTH CHARLESTON WV 25303

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2020
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DERRICK HOLMES
Signature Title PRESIDENT
Signature Date 1/24/2020

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