FORM 1023-EZ for ROANOKE VALLEY BIRD CLUB

Field Data
EIN 81-4414926
Case Number EO-2017094-000249
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROANOKE VALLEY BIRD CLUB
Organization’s Mailing Address 406 WASHINGTON AVE
City ROANOKE
State VA
ZIP 24016
Accounting period End 3
Primary contact name KENT DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENT DAVIS
PRESIDENT
406 WASHINGTON AVE
ROANOKE VA 24016

Officer/Director/Trustee Two

TONI PEPIN
VICE PRESIDENT, PROGRAMS
1608 TERRACE RD
ROANOKE VA 24015

Officer/Director/Trustee Three

ELEANOR DYE
VICE PRESIDENT, MEMBERSHIP
PO BOX 74
VINTON VA 24179

Officer/Director/Trustee Four

SISSY LOGAN
TREASURER
1930 TUCKER LN
SALEM VA 24153

Officer/Director/Trustee Five

LINDA BARKER
SECRETARY
4435 WYNDALE AVE
ROANOKE VA 24018

Organization’s website WWW.ROANOKEVALLEYBIRDCLUB.COM
Organization’s email RVBC2015@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2016
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: Yes
Religious: No
Educational: Yes
Scientific: Yes
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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