FORM 1023-EZ for WYTHEVILLE LIFELONG FITNESS
| Field | Data |
|---|---|
| EIN | 87-2162352 |
| Case Number | EO-2021228-000635 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | WYTHEVILLE LIFELONG FITNESS |
| Organization’s Mailing Address | 755 NORTH 8TH STREET |
| City | WYTHEVILLE |
| State | VA |
| ZIP | 24382 |
| Accounting period End | 12 |
| Primary contact name | ED CLYBURN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ED CLYBURN
DIRECTOR
755 NORTH 8TH STREET
WYTHEVILLE VA 24382
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/13/2021 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N30 - Physical Fitness and Community Recreational Facilities |
| Organization’s purpose | Charitable: Yes 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 | ED CLYBURN |
| Signature Title | DIRECTOR |
| Signature Date | 8/13/2021 |
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