FORM 1023-EZ for WILLIAM CAMPBELL ATHLETIC BOOSTERS CLUB

Field Data
EIN 82-0708540
Case Number EO-2017072-000216
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILLIAM CAMPBELL ATHLETIC BOOSTERS CLUB
Organization’s Mailing Address 205 PHELPS CREEK ROAD
City GLADYS
State VA
ZIP 24554
Accounting period End 12
Primary contact name C CHAD SEALS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

C CHAD SEALS
DIRECTOR PRESIDENT
205 PHELPS CREEK ROAD
GLADYS VA 24554

Officer/Director/Trustee Two

MELISSA BOYD
DIRECTOR
12377 BROOKNEAL HIGHWAY
GLADYS VA 24554

Officer/Director/Trustee Three

TASHS ROSSER
DIRECTOR
10 JOCHBED LANE
GLADYS VA 24554

Officer/Director/Trustee Four

SHELLY BRADLEY
DIRECTOR
8151 LEWIS FORD ROAD
GLADYS VA 24554

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/2017
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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
Signature Title
Signature Date

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