FORM 1023-EZ for ROCKBRIDGE BATHS COMMUNITY ORGANIZATION

Field Data
EIN 84-2674990
Case Number EO-2019346-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROCKBRIDGE BATHS COMMUNITY ORGANIZATION
Organization’s Mailing Address 216 MAURY HILLS DRIVE
City ROCKBRODGE BATHS
State VA
ZIP 24473
Accounting period End 12
Primary contact name ALBERT LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MALCOLM BROWNLEE
PRESIDENT
130 WALKERS CREED RD
ROCKBRIDGE BATHS VA 24473

Officer/Director/Trustee Two

ALBERT W LEWIS JR
VICE PRESIDENT
16 MCCURDY LN
ROCKBRIDGE BATHS VA 24473

Officer/Director/Trustee Three

RENEE PULLEN
SECRETARY
216 MAURY HILLS DRIVE
ROCKBRIDGE BATHS VA 24473

Officer/Director/Trustee Four

BILL STONE
TREASURER
110 LITTLE LN
ROCKBRIDGE BATHS VA 24473

Officer/Director/Trustee Five

SUSAN MOHLER
DIRECTOR
85 WALKERS CREEK RD
ROCKBRIDGE BATRHS VA 24473

Organization’s website
Organization’s email ARGPULLEN@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2019
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S32 - Rural Development
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 ALBERT W LEWIS JR
Signature Title VICE PRESIDENT
Signature Date 12/10/2019

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