FORM 1023-EZ for EVER GREEN TEAM

Field Data
EIN 46-3225587
Case Number EO-2016208-000250
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EVER GREEN TEAM
Organization’s Mailing Address P O BOX L
City KENBRIDGE
State VA
ZIP 23944-0775
Accounting period End 12
Primary contact name DERRICK P FELLOWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD EPPERSON
PRESIDENT / DIRECTOR
389 EPPERSON LANE
KENBRIDGE VA 23944-2092

Officer/Director/Trustee Two

CLAY HALL
VICE PRESIDENT / DIRECTOR
12522 W COLONIAL TRAIL HIGHWAY
CREWE VA 23930-3329

Officer/Director/Trustee Three

JOE DAIGNEAU
SECRETARY / DIRECTOR
556 SUMMER LAKE LANE
VIRGINIA BEACH VA 23454-6885

Officer/Director/Trustee Four

MICHAEL PUGH
TREASURER / DIRECTOR
P O BOX 477
SOUTH HILL VA 23970-0477

Officer/Director/Trustee Five

JEFF JONES
DIRECTOR
5880 AKERS LANE
POWHATAN VA 23139-4640

Organization’s website N/A
Organization’s email EVERGREENTEAM@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/26/2012
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C34 - Land Resources Conservation
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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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