FORM 1023-EZ for TEAM VIRGINIA INC

Field Data
EIN 82-5074733
Case Number EO-2018157-000029
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEAM VIRGINIA INC
Organization’s Mailing Address 8741 TALBOTT FARM DRIVE
City ALEXANDRIA
State VA
ZIP 22309
Accounting period End 12
Primary contact name NAOMI DEBOSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDRE HAYWOOD
DIRECTOR AND PRESIDENT
8741 TALBOTT FARM DR
ALEXANDRIA VA 22309

Officer/Director/Trustee Two

MONTA BAKERSVILLE
TREASURER
6802 DELAND DR
SPRINGFIELD VA 22152

Officer/Director/Trustee Three

SHERI SHARMA
SECRETARY
8741 TALBOTT FARM DR
ALEXANDRIA VA 22309

Officer/Director/Trustee Four

NAOMI DEBOSE
DIRECTOR
8741 TALBOTT FARM DR
ALEXANDRIA VA 22309

Officer/Director/Trustee Five

ERIC BAKERSVILLE
DIRECTOR
6802 DELAND DR
SPRINGFIELD VA 22152

Organization’s website
Organization’s email TEAMVA82@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 ANDRE HAYWOOD
Signature Title DIRECTOR AND PRESIDENT
Signature Date 6/4/18

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