FORM 1023-EZ for QUEEN CITY COMMUNITY CIVIC LEAGUE

Field Data
EIN 81-3645197
Case Number EO-2016280-000216
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name QUEEN CITY COMMUNITY CIVIC LEAGUE
Organization’s Mailing Address 2968 QUEEN CITY RD
City VIRGINIA BEACH
State VA
ZIP 23464
Accounting period End 12
Primary contact name DANIEL MACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL MACK
PRESIDENT
1020 LUXOR AVENUE
VIRGINIA BEACH VA 23464

Officer/Director/Trustee Two

ELTON ROBERSON
VICE PRESIDENT
1013 SUN AVE
VIRGINIA BEACH VA 23464

Officer/Director/Trustee Three

ERIC CHEAIRS
TREASURER
2968 QUEEN CITY RD
VIRGINIA BEACH VA 23464

Officer/Director/Trustee Four

JILL WRIGHT
SECRETARY
1021 CARRINGTON AVE
VIRGINIA BEACH VA 23464

Officer/Director/Trustee Five

ALLEN SMITH
TRUSTEE
2950 QUEEN CITY RD
VIRGINIA BEACH VA 23464

Organization’s website QUEENCITYCIVICLEAGUE.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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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