FORM 1023-EZ for TIMBERLAKE DIXIE YOUTH

Field Data
EIN 90-0044878
Case Number EO-2018043-000486
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TIMBERLAKE DIXIE YOUTH
Organization’s Mailing Address PO BOX 4336
City LYNCHBURG
State VA
ZIP 24502
Accounting period End 12
Primary contact name RICK MATHEWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICK MATHEWS
PRESIDENT
PO BOX4336
LYNCHBURG VA 24502

Officer/Director/Trustee Two

DEWAYNE MARSHALL
VICE PRESIDENT
PO BOX
LYNCHBURG VA 24502

Officer/Director/Trustee Three

CHERYL BROOKS
TREASURE
PO BOX 4336
LYNCHBURG VA 24502

Officer/Director/Trustee Four

APRIL MATHEWS
SECATARY
PO BOX
LYNCHBURG VA 24502

Officer/Director/Trustee Five

SCOTT GLASS
PLAYER AGENT
PO BOX
LYNCHBURG VA 24502

Organization’s website WWW.TIMBERLAKEDIXIEYOUTH.NET
Organization’s email TIMBERLAKEDIXIEYOUTH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/86
Organization Incorporation State VA
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: 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RICK MATHEWS
Signature Title PRESIDENT
Signature Date 2/10/18

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