FORM 1023-EZ for RIVERBEND HIGH SCHOOL XTRA MILE CLUB

Field Data
EIN 27-2189723
Case Number EO-2014272-000102
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RIVERBEND HIGH SCHOOL XTRA MILE CLUB
Organization’s Mailing Address 12301 SPOTSWOOD FURNACE ROAD
City FREDERICKSBURG
State VA
ZIP 22407
Accounting period End 6
Primary contact name TAMMY MOSCO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TAMMY MOSCO
PRESIDENT
12905 TRENCH COURT
FREDERICKSBURG VA 22407

Officer/Director/Trustee Two

TERRI FUSARO
VICE PRESIDENT
11900 BOULDER COURT
SPOTSYLVANIA VA 22553

Officer/Director/Trustee Three

GARTH HORNE
TREASURER
12637 HIDDEN HILLS LANE
FREDERICKSBURG VA 22407

Officer/Director/Trustee Four

KATHLEEN ROONEY
SECRETARY
8008 AVOCET WAY
SPOTSYLVANIA VA 22553

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2011
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 Yes
One Third Support Gifts No
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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