FORM 1023-EZ for SPRING LAKE SOCIAL CLUB

Field Data
EIN 85-1592633
Case Number EO-2020321-000380
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPRING LAKE SOCIAL CLUB
Organization’s Mailing Address 1050 HENDRICKS STORE RD
City MONETA
State VA
ZIP 24121
Accounting period End 12
Primary contact name MICHELLE EGGLESTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE EGGLESTON
PRESIDENT
1050 HENDRICKS STORE RD
MONETA VA 24121

Officer/Director/Trustee Two

TYNEICE NELMS
SECRETARY
1050 HENDRICKS STORE RD
MONETA VA 24121

Officer/Director/Trustee Three

TERRY NELMS
TREASURER
1050 HENDRICKS STORE ROAD
MONENTA VA 24121

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHELLE EGGLESTON
Signature Title PRESIDENT
Signature Date 11/12/2020

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