FORM 1023-EZ for FALLS MILLS FISHING CLUB

Field Data
EIN 80-0655388
Case Number EO-2015091-000232
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FALLS MILLS FISHING CLUB
Organization’s Mailing Address PO BOX 74
City FALLS MILLS
State VA
ZIP 24613
Accounting period End 12
Primary contact name KRISTIE COMBS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TOMMY SCOTT
PRESIDENT
PO BOX 76
BLUEFIELD VA 24605

Officer/Director/Trustee Two

WADE LOVELL
VICE PRESIDENT
PO BOX 12
FALLS MILLS VA 24613

Officer/Director/Trustee Three

KIM SCOTT
SECRETARY
1166 LOOP RD
FALLS MILLS VA 24613

Officer/Director/Trustee Four

CHRISTINA LOVELL
PUBLIC RELATIONS REP
PO BOX 12
FALLS MILLS VA 24613

Officer/Director/Trustee Five

MIKE HALE
SECURITY
PO BOX 124
FALLS MILLS VA 24613

Organization’s website
Organization’s email CHRISTINALOVELL57@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2015
Organization Incorporation State VA
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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