FORM 1023-EZ for CHEER REVOLUTION ATHLETIC CLUB INC

Field Data
EIN 82-4106676
Case Number EO-2018045-000251
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHEER REVOLUTION ATHLETIC CLUB INC
Organization’s Mailing Address 129 DYE DRIVE
City BECKLEY
State WV
ZIP 25801
Accounting period End 12
Primary contact name KIMBERLY LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY LEWIS
PRESIDENT
PO BOX 2011
SHADY SPRING WV 25918

Officer/Director/Trustee Two

TODD HATFIELD
VICE PRESIDENT
297 CEDAR CREST DR
SHADY SPRING WV 25918

Officer/Director/Trustee Three

SHEENA WARD
SECRETARY
1593 MAXWELL HILL RD
BECKLEY WV 25801

Organization’s website
Organization’s email CHEER.REVOLUTION@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/18
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name KIMBERLY LEWIS
Signature Title PRESIDENT
Signature Date 2/12/18

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