FORM 1023-EZ for WESTERN BRANCH BOYS SOCCER BOOSTERCLUB

Field Data
EIN 27-2100943
Case Number EO-2015131-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTERN BRANCH BOYS SOCCER BOOSTERCLUB
Organization’s Mailing Address 3520 CALVERTON WAY
City CHESAPEAKE
State VA
ZIP 23321-4429
Accounting period End 2
Primary contact name LORENA PEARCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONALD GRESHAM
PRESIDENT
1600 TAPGALLANT QUAY
CHESAPEAKE VA 23321

Officer/Director/Trustee Two

PETER JAMES
VICE PRESIDENT
1508 RICK FLETCHER COURT
CHESAPEAKE VA 23321

Officer/Director/Trustee Three

LORENA PEARCE
TREASURER
3520 CALVERTON WAY
CHESAPEAKE VA 23321

Officer/Director/Trustee Four

RAVEN STONE
SECRETARY
3125 BISCAYNE DRIVE
CHESAPEAKE VA 23321

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/2015
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: 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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