FORM 1023-EZ for GREENE COUNTY YOUTH CLUB

Field Data
EIN 83-2498766
Case Number EO-2018319-000290
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREENE COUNTY YOUTH CLUB
Organization’s Mailing Address 3003 SOUTH RIVER ROAD
City STANDARDSVILLE
State VA
ZIP 22973
Accounting period End 12
Primary contact name CLIFF BRAUN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLIFF BRAUN
TREASURER
3003 SOUTH RIVER ROAD
STANARDSVILLE VA 22973

Officer/Director/Trustee Two

JENNIFER ALVAREZ
PRESIDENT
3011 SOUTH RIVER ROAD
STANARDSVILLE VA 22973

Officer/Director/Trustee Three

KIM ADDERLY
SECRETARY
49 SUNRISE LANE
RUCKERSVILLE VA 22968

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 CLIFF BRAUN
Signature Title TREASURER
Signature Date 11/13/18

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