FORM 1023-EZ for ROCKBRIDGE UNITED SOCCER CLUB

Field Data
EIN 47-1648237
Case Number EO-2015026-000087
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROCKBRIDGE UNITED SOCCER CLUB
Organization’s Mailing Address 114 WILLOW LANE
City LEXINGTON
State VA
ZIP 24450
Accounting period End 12
Primary contact name PAUL GREGORY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL GREGORY
BOARD PRESIDENT
114 WILLOW LANE
LEXINGTON VA 24450

Officer/Director/Trustee Two

ROSS WALLER
TREASURER
509 BORDEN RD
LEXINGTON VA 24450

Officer/Director/Trustee Three

LIZ DRAHOS
BOARD MEMBER
300 DOGWOOD RISE
LEXINGTON VA 24450

Officer/Director/Trustee Four

MARC CONNER
BOARD MEMBER
930 THORNHILL ROAD
LEXINGTON VA 24450

Officer/Director/Trustee Five

BRANT HELLWIG
BOARD MEMBER
10 STRATFORD
LEXINGTON VA 24450

Organization’s website WWW.ROCKBRIDGEUNITED.COM
Organization’s email ROCKBRIDGEUNITED@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 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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