FORM 1023-EZ for TEAM OF SOUTH BERKELEY INC

Field Data
EIN 47-5434906
Case Number EO-2015320-000403
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEAM OF SOUTH BERKELEY INC
Organization’s Mailing Address 6836 WINCHESTER AVE
City INWOOD
State WV
ZIP 25428
Accounting period End 12
Primary contact name CHAD LAWYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DOUG GREENFIELD
PRESIDENT
6836 WINCHESTER AVE
INWOOD WV 25428

Officer/Director/Trustee Two

JAMES HARPINE
VICE-PRESIDENT
2299 GOLDMILLER RD
BUNKER HILL WV 25413

Officer/Director/Trustee Three

STEVE HEDRICK
TREASURER
192 MONTMORENCY DR
BUNKER HILL WV 25413

Officer/Director/Trustee Four

NORMA JEAN MASTERS
SECRETARY
2565 SULPHER SPRINGS RD
INWOOD WV 25428

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2015
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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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