FORM 1023-EZ for RVA BLUE GRASS JAM INC

Field Data
EIN 82-4117296
Case Number EO-2018045-000113
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RVA BLUE GRASS JAM INC
Organization’s Mailing Address 401 WALSING DRIVE
City RICHMOND
State VA
ZIP 23229-7644
Accounting period End 12
Primary contact name MICHAEL KLEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS MCNALLY
PRESIDENT
3828 THAMESFORD WAY
HENRICO VA 23233-1755

Officer/Director/Trustee Two

TIM GUNDLACH
VICE PRESIDENT
1800 TUNBRIDGE ROAD
RICHMOND VA 23238-4159

Officer/Director/Trustee Three

JEFF POLLARD
SECRETARY
232 ASHBURY HILLS DRIVE
RICHMOND VA 23227-1262

Officer/Director/Trustee Four

MICHAEL KLEIN
TREASURER
401 WALSING DRIVE
RICHMOND VA 23229-7644

Officer/Director/Trustee Five

FRANCI LUCAS
DIRECTOR
8603 SUNNYGROVE ROAD
CHESTERFIELD VA 23832-7550

Organization’s website HTTP://RVABLUEGRASSJAM.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
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 No
Correctness Declaration Yes
Signature Name MICHAEL KLEIN
Signature Title TREASURER
Signature Date 2/12/18

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