FORM 1023-EZ for QUANTICO MTB CLUB INC

Field Data
EIN 47-1010079
Case Number EO-2015054-000443
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name QUANTICO MTB CLUB INC
Organization’s Mailing Address 714
City DUMFRIES
State VA
ZIP 22026
Accounting period End 12
Primary contact name BRIAN BALAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN PAUL COOLEY
PRESIDENT
15 FULTON DRIVE
STAFFORD VA 22554

Officer/Director/Trustee Two

JUSTIN POWELL
VICE PRESIDENT
4330 POTOMAC HIGHLANDS CIRCLE
TRIANGLE VA 22172

Officer/Director/Trustee Three

BRIAN BALAS
TREASURER
2887 BARRLEY DRIVE
DUMFRIES VA 22026

Officer/Director/Trustee Four

JENNIFER SCHMAND
SECRETARY
14910 FRUIT TREE COURT
WOODBRIDGE VA 22193

Organization’s website
Organization’s email QMTBTREASURER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 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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