FORM 1023-EZ for FREE STATE ROLLER DERBY

Field Data
EIN 45-5264130
Case Number EO-2014358-000009
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FREE STATE ROLLER DERBY
Organization’s Mailing Address 12 DERWOOD CIRCLE
City ROCKVILLE
State MD
ZIP 20850
Accounting period End 12
Primary contact name ANA GARZA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANA GARZA
LEAGUE CO-CHAIR
8416 SNOWDEN OAKS PLACE
LAUREL MD 20708

Officer/Director/Trustee Two

ALEKSANDRA BURTSEVA
LEAGUE CO-CHAIR
1220 BLAIR MILL RD APT 908
SILVER SPRING MD 20910

Officer/Director/Trustee Three

JULIE NEMECEK
FINANCE CHAIR
11418 GRAYLING LANE
ROCKVILLE MD 20852

Officer/Director/Trustee Four

JENNIE DAVIDSON
HR CHAIR
8805 OXWELL LANE
LAUREL MD 20708

Officer/Director/Trustee Five

THERESA GROSSE
LEAGUE CAPTAIN
805 ALLISON ST NW
WASHINGTON DC 20011

Organization’s website FREESTATEROLLERDERBY.COM
Organization’s email FREESTATEROLLERDERBY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2012
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

Recently Saved Organizations

Click on the save icon from a search results or organization page.