FORM 1023-EZ for SULLY STATION 2 PIRANHAS SWIM TEAMINC

Field	Data
EIN	83-0744512
Case Number	EO-2019091-000460
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	SULLY STATION 2 PIRANHAS SWIM TEAMINC
Organization’s Mailing Address	43301 HAGEN COURT
City	SOUTH RIDING
State	VA
ZIP	20152
Accounting period End	12
Primary contact name	CHRISTOPHER R CAMPBELL
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

CHRISTOPHER CAMPBELL
PRESIDENT
43301 HAGEN COURT
SOUTH RIDING VA 20152-1772

Officer/Director/Trustee Two

LORI CAMPBELL
TREASURER
43301 HAGEN COURT
SOUTH RIDING VA 20152-1772

Officer/Director/Trustee Three

ERIC STALFORT
VICE PRESIDENT
5557 VILLAGE CENTER ROAD
CENTREVILLE VA 20120-2893

Officer/Director/Trustee Four

DAWN OBRIEN
SECRETARY
5713 DEER POND ROAD
SOUTH RIDING VA 20120-2934

Officer/Director/Trustee Five

THOMAS KENNEDY
DIRECTOR
5620 FLAGLER DRIVE
CENTREVILLE VA 20120-2992

Organization’s website	HTTPS://SS2PIRANHAS.SHUTTERFLY.COM
Organization’s email	CHRISCLN@VERIZON.NET
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	5/23/18
Organization Incorporation State	VA
Contains Limitation	Yes
Does not expressly empower	Yes
Contains dissolution	Yes
National Taxonomy of Exempt Entities (NTEE) code	N67 - Swimming, Water Recreation
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	CHRISTOPHER CAMPBELL
Signature Title	PRESIDENT
Signature Date	3/27/19
EIN	83-0744512
Case Number	EO-2019091-000460
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	SULLY STATION 2 PIRANHAS SWIM TEAM INC
Organization’s Mailing Address	43301 HAGEN COURT
City	SOUTH RIDING
State	VA
ZIP	20152
Accounting period End	12
Primary contact name	CHRISTOPHER R CAMPBELL
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00