FORM 1023-EZ for VIP CLUB SE DC

Field Data
EIN 83-2822898
Case Number EO-2019036-001009
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VIP CLUB SE DC
Organization’s Mailing Address 1931 18TH STREET SE
City WASHINGTON
State DC
ZIP 20020
Accounting period End 12
Primary contact name BARRINGTON SMALLWOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARRINGTON SMALLWOOD
PRESIDENT
1931 18TH STREET SE
WASHINGTON DC 20020

Officer/Director/Trustee Two

TIM MAHONEY
VICE PRESIDENT
4405 35TH STREET NW
WASHINGTON DC 20008

Officer/Director/Trustee Three

DANA SIMMONS
SECRETARY/TREASURER
9721 TRAVER STREET
BOWIE MD 20721

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/18
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 BARRINGTON SMALLWOOD
Signature Title PRESIDENT
Signature Date 1/22/19

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