FORM 1023-EZ for SOUTHWEST VIRGINIA CLIMBERS COALITION

Field Data
EIN 47-2113968
Case Number EO-2017124-000205
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHWEST VIRGINIA CLIMBERS COALITION
Organization’s Mailing Address 1011 SPRUCE AVE
City NORTON
State VA
ZIP 24273
Accounting period End 12
Primary contact name BRAD MATHISEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYLE KING
TREASURER
7904 HIDDEN VALLEY RD
ABINGDON VA 24210

Officer/Director/Trustee Two

BRAD MATHISEN
PRESIDENT
1011 SPRUCE AVE
NORTON VA 24273

Officer/Director/Trustee Three

AARON PARLIER
VICE-PRESIDENT
215 ROCKY CREEK RD
BOONE NC 28607

Officer/Director/Trustee Four

KYLIE SCHMIDT
ADVOCATE
101 WILTON AVE
LEXINGTON KY 40508

Officer/Director/Trustee Five

SHAYNE FIELDS
ADVOCATE
6239 JOSEPHINE RD
NORTON VA 24273

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2014
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 Yes
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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