FORM 1023-EZ for HICKORY HAWKS SOCCER BOOSTER CLUB

Field Data
EIN 47-2127480
Case Number EO-2014304-000363
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HICKORY HAWKS SOCCER BOOSTER CLUB
Organization’s Mailing Address 650 SOUTH ATLANTIC AVENUE
City VIRGINIA BEACH
State VA
ZIP 23451
Accounting period End 12
Primary contact name SHELDON COHN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHELDON COHN
PRESIDENT
650 SOUTH ATLANTIC AVENUE
VIRGINIA BEACH VA 23451

Officer/Director/Trustee Two

AMBER ROLLS
SECRETARY
113 HORSE RUN DR
CHESAPEAKE VA 23322

Officer/Director/Trustee Three

MIKE GYORI
TREASURER
344 BARTELL DRIVE
CHESAPEAKE VA 23322

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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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