FORM 1023-EZ for VA ELITE SOUTHSIDE BASKETBALL INC

Field Data
EIN 47-3379687
Case Number EO-2015120-000241
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VA ELITE SOUTHSIDE BASKETBALL INC
Organization’s Mailing Address 1408 ROUNDABOUT RD
City MARTINSVILLE
State VA
ZIP 24112
Accounting period End 12
Primary contact name MARVIN WIMBUSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARVIN WIMBUSH
PRESIDENT
1408 ROUNDABOUT RD
MARTINSVILLE VA 24112

Officer/Director/Trustee Two

CHARLES HODNETT
VICE - PRESIDENT
272 WOODCREEK PLACE
BLAIRS VA 24540

Officer/Director/Trustee Three

DEBORAH HOLMES
2ND VICE-PRESIDENT
118 BELAIR DRIVE
DANVILLE VA 24540

Officer/Director/Trustee Four

LISA STOKES
TREASURER
330 JEB STUART RD
MARTINSVILLE VA 24112

Officer/Director/Trustee Five

LYNN HAIRSTON
SECRETARY
1304 ROUNDABOUT RD
MARTINSVILLE VA 24112

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 N62 - Basketball
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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
Signature Title
Signature Date

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