FORM 1023-EZ for AIR MIX VIRGINIA

Field Data
EIN 46-3698394
Case Number EO-2016055-000248
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AIR MIX VIRGINIA
Organization’s Mailing Address 255 ZAN RD
City CHARLOTTESVILLE
State VA
ZIP 22901
Accounting period End 12
Primary contact name TRAVIS DYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSEPH MIDDLETON
PRESIDENT
4285 BURTON RD NORTH
NORTH GARDEN VA 22959

Officer/Director/Trustee Two

CLEVESTER LOGAN
VICE PRESIDENT
103 PROVIDENCE RD
CHARLOTTESVILLE VA 22901

Officer/Director/Trustee Three

TRAVIS DYER
SECRETARY/TREASURER
1542 MONTESSORI TERRACE
CHARLOTTESVILLE VA 22911

Officer/Director/Trustee Four

DAMANI HARRISON
DIRECTOR
2711 BROOKMERE RD
CHARLOTTESVILLE VA 22901

Officer/Director/Trustee Five

BEN CAMP
DIRECTOR
104 OAK ST
CHARLOTTESVILLE VA 22902

Organization’s website WWW.101JAMZ.COM
Organization’s email INFO@101JAMZ.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/2013
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A34 - Radio
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 Yes
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
Signature Title
Signature Date

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