FORM 1023-EZ for ROANOKE SKATEPARK INITIATIVE INC

Field Data
EIN 81-2920013
Case Number EO-2016270-000186
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROANOKE SKATEPARK INITIATIVE INC
Organization’s Mailing Address 2006 SHERWOOD AVE SW
City ROANOKE
State VA
ZIP 24015
Accounting period End 12
Primary contact name R BRUCE FICKLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON GARNETT
DIRECTOR
1871 ARLINGTON ROAD SW
ROANOKE VA 24015-2205

Officer/Director/Trustee Two

KERI GARNETT
DIRECTOR
1871 ARLINGTON ROAD SW
ROANOKE VA 24015-2205

Officer/Director/Trustee Three

BARRY WEBSTER
DIRECTOR
1326 WEST MAIN STREET
SALEM VA 24153-9281

Officer/Director/Trustee Four

MELISSA WEBSTER
DIRECTOR
1326 WEST MAIN STREET
SALEM VA 24153-9281

Officer/Director/Trustee Five

RORY HOLFORD
DIRECTOR
932 WINONA AVE SW
ROANOKE VA 24015-2205

Organization’s website ROASKATE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
Organization’s purpose Charitable: Yes
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 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
Signature Title
Signature Date

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