FORM 1023-EZ for U-SQUARED CLUB

Field Data
EIN 81-4304272
Case Number EO-2018290-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name U-SQUARED CLUB
Organization’s Mailing Address 449 EDD RIDGE LN
City TROY
State VA
ZIP 22974
Accounting period End 6
Primary contact name CHRISTINA GARRETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINA GARRETT
DIRECTOR
449 EDD RIDGE LN
TROY VA 22974

Officer/Director/Trustee Two

KEVIN GARRETT
ASSOCIATE DIRECTOR
449 EDD RIDGE LN
TROY VA 22974

Officer/Director/Trustee Three

SUSAN SHIELDS
ASST. DIRECTOR
91 ANTIOCH SPRINGS LN
SCOTTSVILLE VA 24590

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/16
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 CHRISTINA GARRETT
Signature Title DIRECTOR
Signature Date 10/15/18

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