FORM 1023-EZ for CVILLE UNITED FC INC

Field Data
EIN 85-0496446
Case Number EO-2020247-000222
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CVILLE UNITED FC INC
Organization’s Mailing Address 604 N MAIN ST
City GORDONSVILLE
State VA
ZIP 22942
Accounting period End 12
Primary contact name THOMAS NILSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS NILSEN
PRESIDENT
604 N MAIN STREET
GORDONSVILLE VA 22942

Officer/Director/Trustee Two

BROOK NORTH
TREASURER
604 N MAIN ST
GORDONSVILLE VA 22942

Officer/Director/Trustee Three

JUSTIN SHIFFLETTE
SECRETARY
604 N MAIN ST
GORDONSVILLE VA 22942

Officer/Director/Trustee Four

LARRY BEASLEY
DIRECTOR
604 N MAIN ST
GORDONSVILLE VA 22942

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name THOMAS NILSEN
Signature Title PRESIDENT
Signature Date 9/1/2020

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