FORM 1023-EZ for RIVERBEND GIRLS LACROSSE CLUB

Field Data
EIN 82-2636778
Case Number EO-2017311-000272
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RIVERBEND GIRLS LACROSSE CLUB
Organization’s Mailing Address 12023 SAWHILL BOULEVARD
City SPOTSYLVANIA
State VA
ZIP 22553
Accounting period End 12
Primary contact name ROY COOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROY COOK
PRESIDENT
12023 SAWHILL BLVD
SPOTSYLVANIA VA 22553

Officer/Director/Trustee Two

WHYTNEY BARNETT
SECRETARY
9010 SNOWY EGRET COURT
SPOTSYLVANIA VA 22553

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2017
Organization Incorporation State VA
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: 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 Yes
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
Signature Title
Signature Date

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