FORM 1023-EZ for WESTERN CHARLES CHARGERS INCORPORATED

Field Data
EIN 10-0811044
Case Number EO-2015177-000325
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTERN CHARLES CHARGERS INCORPORATED
Organization’s Mailing Address 6400 ADDIE COURT
City CLINTON
State MD
ZIP 20735
Accounting period End 12
Primary contact name TERRY PROCTOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TERRY PROCTOR
PRESIDENT
6400 ADDIE COURT
CLINTON MD 20735

Officer/Director/Trustee Two

DEXTER BROWN
VICE PRESIDENT
22 PUEBLO COURT
INDIAN HEAD MD 20640

Officer/Director/Trustee Three

THOMAS BUTLER
TREASURER
4375 BUTLER HANCOCK PLACE
MARBURY MD 20658

Officer/Director/Trustee Four

TANYA BREVARD
SECRETARY
10329 TAYLOES NECK ROAD
NANJEMOY MD 20662

Officer/Director/Trustee Five

CECELIA KELTON
ACCOUNTANT
2973 MARSH HAWK DRIVE
WALDORF MD 20603

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2004
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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