FORM 1023-EZ for VIRGINIA SHOULDER & SPORTS MEDICINERESEARCH FOUNDATION INC

Field Data
EIN 83-1521092
Case Number EO-2018309-000215
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VIRGINIA SHOULDER & SPORTS MEDICINERESEARCH FOUNDATION INC
Organization’s Mailing Address 3208 STAPLEFORD CHASE
City VIRGINIA BEACH
State VA
ZIP 23452
Accounting period End 12
Primary contact name GREG MCRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRADLEY CAROFINO
PRESIDENT/TREASURER/DIRECTOR
3208 STAPLEFORD CHASE
VIRGINIA BEACH VA 23452

Officer/Director/Trustee Two

CHRISTOPHER ANNINOS
SECRETARY/DIRECTOR
4711 KEMPSVILLE GREENS PKWY
VIRGINIA BEACH VA 23462

Officer/Director/Trustee Three

STEPHEN SUTTMILLER
DIRECTOR
325 FLAX MILL WAY
CHESAPEAKE VA 23322

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRADLEY CAROFINO
Signature Title PRESIDENT/TREASURER/DIRECTOR
Signature Date 11/1/18

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