FORM 1023-EZ for HAMPTON ROADS BIRD CLUB

Field Data
EIN 54-1243491
Case Number EO-2015020-000140
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAMPTON ROADS BIRD CLUB
Organization’s Mailing Address 109 NANSEMOND TURN
City YORKTOWN
State VA
ZIP 23693-2731
Accounting period End 8
Primary contact name JOHN ADAIR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID YOUKER
PRESIDENT
110 STONE LAKE COURT
YORKTOWN VA 23693

Officer/Director/Trustee Two

BRENDA GERVAIS
VICE PRESIDENT
149 CHICKAMAUGA PIKE
HAMPTON VA 23669

Officer/Director/Trustee Three

WILLIAM BOEH
SECRETARY
100 CHAMPIONS PATH
YORKTOWN VA 23693

Officer/Director/Trustee Four

JOHN ADAIR
TREASURER
109 NANSEMOND TURN
YORKTOWN VA 23693-2731

Organization’s website HTTP://WWW.HAMPTONROADSBIRDCLUB.ORG
Organization’s email ADAIRJJ@BUNT.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/1951
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U20 - Science, General
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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