FORM 1023-EZ for WESTERN BRANCH ATHLETIC FOUNDATION

Field Data
EIN 83-3803641
Case Number EO-2019140-000407
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTERN BRANCH ATHLETIC FOUNDATION
Organization’s Mailing Address PO BOX 9616
City CHESAPEAKE
State VA
ZIP 23321
Accounting period End 12
Primary contact name ALQUINTON WIGGINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE CLARK
PRESIDENT
4308 CROSSINGS COURT
CHESAPEAKE VA 23321-4028

Officer/Director/Trustee Two

JOCELYN FRAISER
VICE PRESIDENT
1739 FISHER COVE
CHESAPEAKE VA 23321

Officer/Director/Trustee Three

ALQUINTON WIGGINS
TREASURER
3245 BRADDOCK LANDING ROAD
CHESAPEAKE VA 23321-4028

Officer/Director/Trustee Four

ARVIETTE HUNTER
SECRETARY
4952 BARN SWALLOW DRIVE
CHESAPEAKE VA 23321

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALQUINTON WIGGINS
Signature Title TREASURER
Signature Date 5/17/19

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