FORM 1023-EZ for YADKIN VALLEY STORM

Field Data
EIN 84-2605882
Case Number EO-2020252-000195
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YADKIN VALLEY STORM
Organization’s Mailing Address 1125 PINNIX ROAD
City JONESVILLE
State NC
ZIP 28642-9487
Accounting period End 12
Primary contact name JASON WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON WALKER
PRESIDENT
1125 PINNIX ROAD
JONESVILLE NC 28642-9487

Officer/Director/Trustee Two

DAVIS MATHIS
VICE-PRESIDENT
2549 BUCK SHOALS ROAD
HAMPTONVILLE NC 27020-7637

Officer/Director/Trustee Three

AMY MATHIS
SECRETARY
2549 BUCK SHOALS ROAD
HAMPTONVILLE NC 27020-7637

Officer/Director/Trustee Four

LEANN ELLEDGE
TREASURER
6333 PONDEROSA DRIVE
HAMPTONVILLE NC 27020-8397

Organization’s website
Organization’s email YVSTORM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2019
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 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 JASON WALKER
Signature Title PRESIDENT
Signature Date 9/3/2020

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