FORM 1023-EZ for JONSON CITY VOLLEYBALL CLUB

Field Data
EIN 47-5162325
Case Number EO-2015289-000181
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JONSON CITY VOLLEYBALL CLUB
Organization’s Mailing Address 106 CEDAR POINT RD
City JOHNSON CITY
State TN
ZIP 37601
Accounting period End 1
Primary contact name CHRISTINA MAIDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTINA MAIDEN
TREASURE
106 CEDAR POINT ROAD
JOHNSON CITY TN 37601

Officer/Director/Trustee Two

CHAD MAIDEN
PRESIDENT
106 CEDAR POINT ROAD
JOHNSON CITY TN 37601

Officer/Director/Trustee Three

JUNE WAGNER
DIRECTOR
125 SPRING STREET
JOHNSON CITY TN 37604

Officer/Director/Trustee Four

NANCY LAYTON
SECRETARY
4118 SIOUX DR
JOHNSON CITY TN 37604

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2015
Organization Incorporation State TN
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: 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 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 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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