FORM 1023-EZ for BLUE RIDGE SOCCER LEAGUE

Field Data
EIN 20-0310394
Case Number EO-2015050-000316
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUE RIDGE SOCCER LEAGUE
Organization’s Mailing Address 2608 BOBWHITE DR
City ROANOKE
State VA
ZIP 24018
Accounting period End 6
Primary contact name DAVID JAMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES HARRIS
PRESIDENT
4695 BLUE HERON DR
CHRISTIANSBURG VA 24073

Officer/Director/Trustee Two

STEPHEN SIMON
VICE PRESIDENT ADMINISTRATION
5650 BANDY ROAD
ROANOKE VA 24014

Officer/Director/Trustee Three

EUGENE PATERSON
VICE PRESIDENT OPERATIONS
5415 COOPER STREET
ROANOKE VA 24019

Officer/Director/Trustee Four

NICOLE COOK
TREASURER
543 SHERWOOD DRIVE
BLUE RIDGE VA 24064

Officer/Director/Trustee Five

DAVID JAMES
ADMINISTRATOR
2608 BOBWHITE DR
ROANOKE VA 24018

Organization’s website WWW.BLUERIDGESOCCERLEAGUE.ORG
Organization’s email ADMINSTRATOR@BLUERIDGESOCCERLEAGUE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2003
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: No
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 Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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