FORM 1023-EZ for WAVERIDERS SWIM TEAM

Field Data
EIN 82-4986481
Case Number EO-2018136-000278
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAVERIDERS SWIM TEAM
Organization’s Mailing Address 2725 MILL FLUME DRIVE
City MIDLOTHIAN
State VA
ZIP 23112
Accounting period End 12
Primary contact name THOMAS STROUD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS STROUD
PRESIDENT
2725 MILL FLUME DR
MIDLOTHIAN VA 23112

Officer/Director/Trustee Two

LISA HARRIS
VICE PRESIDENT
2810 MT HERMON ROAD
MOSELEY VA 23120

Officer/Director/Trustee Three

CHRISTINE STRICKLAND
TREASURER
2206 WATER HORSE CT
MIDLOTHIAN VA 23112

Officer/Director/Trustee Four

DOUGLAS SCAMMELL
TREASURER
2225 WATER HORSE DRIVE
MIDLOTHIAN VA 23112

Officer/Director/Trustee Five

AMANDA JONES
PARENT REPRESENTATIVE
14606 SPALDWICK LANE
MIDLOTHIAN VA 23112

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/18
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 THOMAS STROUD
Signature Title PRESIDENT
Signature Date 5/11/18

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