FORM 1023-EZ for EXCEL TO EXCELLENCE YOUTH FOOTBALL

Field Data
EIN 83-0771177
Case Number EO-2018164-000167
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EXCEL TO EXCELLENCE YOUTH FOOTBALL
Organization’s Mailing Address 11357 NUCKOLS RD STE 181
City GLEN ALLEN
State VA
ZIP 23059
Accounting period End 12
Primary contact name BURTON MICHAEL ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BURTON MICHAEL ROBINSON
PRESIDENT
11357 NUCKOLS RD STE 181
GLEN ALLEN VA 23059

Officer/Director/Trustee Two

SHANTELL MALACHI
DIRECTOR
116 NEW HARVEST DRIVE
HENRICO VA 23231

Officer/Director/Trustee Three

ANDREAN SHELTON
DIRECTOR
8223 TURNER FOREST RD
HENRICO VA 23231

Officer/Director/Trustee Four

TONYA JONES
TREASUER
1314 POCO DRIVE
N CHESTERFIELD VA 23235

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BURTON MICHAEL ROBINSON
Signature Title PRESIDENT
Signature Date 6/11/18

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