FORM 1023-EZ for CARL SANDBURG MIDDLE SCHOOL HOCKEY CLUB

Field Data
EIN 82-0822292
Case Number EO-2017110-000313
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARL SANDBURG MIDDLE SCHOOL HOCKEY CLUB
Organization’s Mailing Address 3403 WESSYNTON WAY
City ALEXANDRIA
State VA
ZIP 22309
Accounting period End 6
Primary contact name HANK KIM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HANK KIM
PRESIDENT
3403 WESSYNTON WAY
ALEXANDRIA VA 22309

Officer/Director/Trustee Two

HENRY SWOOP
TREASURER
3403 WESSYNTON WAY
ALEXANDRIA VA 22309

Officer/Director/Trustee Three

AUGUSTIN BRIGUET
SECRETARY
3403 WESSYNTON WAY
ALEXANDRIA VA 22309

Officer/Director/Trustee Four

JOHN SHEIRY
VP - SCHEDULING
3403 WESSYNTON WAY
ALEXANDRIA VA 22309

Officer/Director/Trustee Five

MATT ROGERS
VP - MARKETING
3403 WESSYNTON WAY
ALEXANDRIA VA 22309

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2017
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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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