FORM 1023-EZ for CROSSROADS RIDERS SOCIAL CLUB BOWIEMD INC

Field Data
EIN 82-3222816
Case Number EO-2018044-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CROSSROADS RIDERS SOCIAL CLUB BOWIEMD INC
Organization’s Mailing Address 7100 SHIELD COURT
City UPPER MARLBORO
State MD
ZIP 20772
Accounting period End 12
Primary contact name ROXANNE WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROXANNE WILLIAMS
PRESIDENT
21205 PRICE LANE
CULPEPER VA 22701

Officer/Director/Trustee Two

LASHAWN KIRKLAND
VICE PRESIDENT
12320 QUAIL WOODS DRIVE
GERMANTOWN MD 20874

Officer/Director/Trustee Three

CHARLISA KIRKLAND
TREASURER
1919 S LORTON ST
ARLINGTON VA 22204

Officer/Director/Trustee Four

FETINIA CORUM
SGT AT ARMS
8668 BRUTON PARISH COURT APT 103
MANASSAS VA 20110

Officer/Director/Trustee Five

SUPRENA HILL
SECRETARY
9553 BATTERY HEIGHTS BLVD
MANASSAS VA 20110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/18
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 ROXANNE WILLIAMS
Signature Title PRESIDENT
Signature Date 2/9/18

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