FORM 1023-EZ for CAPITAL CITY HOMESCHOOL ATHLETICS

Field Data
EIN 82-5446942
Case Number EO-2018130-000240
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAPITAL CITY HOMESCHOOL ATHLETICS
Organization’s Mailing Address 9040 MARL BRANCH COURT
City MECHANICSVILLE
State VA
ZIP 23116-5817
Accounting period End 5
Primary contact name NICOLE BRUNGARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE BRUNGARD
PRESIDENT
9040 MARL BRANCH COURT
MECHANICSVILLE VA 23116-5817

Officer/Director/Trustee Two

TARA CAHOON
VICE PRESIDENT
2300 LEAH ROAD
RICHMOND VA 23230-2107

Officer/Director/Trustee Three

JENNIFER JOHNSON
SECRETARY
15290 DEVONWOOD ROAD
MONTEPLIER VA 23192-2468

Officer/Director/Trustee Four

LAURA HAY
TREASURER
13210 SINGER ROAD
MIDLOTHIAN VA 23112-1325

Officer/Director/Trustee Five

BETH ASHTON
MEMBER-AT-LARGE
801 KLINE COURT
GOOCHLAND VA 23063-3238

Organization’s website WWW.CAPCITYWARRIORS.COM
Organization’s email CAPCITYWARRIORS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/7/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NICOLE BRUNGARD
Signature Title PRESIDENT
Signature Date 5/7/18

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