FORM 1023-EZ for THE WOODBRIDGE PICKLEBALL CLUB

Field Data
EIN 86-2757384
Case Number EO-2021152-000700
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE WOODBRIDGE PICKLEBALL CLUB
Organization’s Mailing Address 5586 HOBSONS CHOICE LOOP
City MANASSAS
State VA
ZIP 20112
Accounting period End 12
Primary contact name NICK C KATSARELIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLAS KATSARELIS
PRESIDENT
5586 HOBSONS CHOICE LOOP
MANASSAS VA 20112

Officer/Director/Trustee Two

THOMAS KONICKI
VICE-PRESIDENT
5429 LOGGERHEAD PLACE
WOODBRIDGE VA 22193

Officer/Director/Trustee Three

JENNIFER JUDY
SECRETARY
12290 TILNEY COURT
WOODBRIDGE VA 22192

Officer/Director/Trustee Four

CHRISTINE GARRETT
TEREASURER
5586 HOBSONS CHOICE LOOP
MANASSAS VA 20112

Officer/Director/Trustee Five

DAVID BARTEE
INFORMATION OFFICER
8728 WILD PRAIRIE ROSE WAY
LORTON VA 22079

Organization’s website
Organization’s email WOODBRIDGEPICKLEBALLCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/2021
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: Yes
Religious: No
Educational: Yes
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 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 NICHOLAS KATSARELIS
Signature Title PRESIDENT
Signature Date 5/28/2021

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