FORM 1023-EZ for HILL CITY SLIDERS

Field Data
EIN 47-2130845
Case Number EO-2014318-000270
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HILL CITY SLIDERS
Organization’s Mailing Address 3463 GOODE RD
City GOODE
State VA
ZIP 24556
Accounting period End 12
Primary contact name SHANI INGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONALD JONES
PRESIDENT, DIRECTOR
112 CAVALRY LN
LYNCHBURG VA 24502

Officer/Director/Trustee Two

JERI WOOD
SECRETARY, DIRECTOR
1465 RAINBOW FOREST DR
LYNCHBURG VA 24502

Officer/Director/Trustee Three

WENDY CASSIDY
TREASURER, DIRECTOR
121 BERKSHIRE PL
LYNCHBURG VA 24502

Officer/Director/Trustee Four

SHANI INGE
DIRECTOR
3463 GOODE RD
GOODE VA 24556

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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