FORM 1023-EZ for SPOTSYLVANIA PATRIOTS

Field Data
EIN 82-2639108
Case Number EO-2017317-000119
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPOTSYLVANIA PATRIOTS
Organization’s Mailing Address 8908 BOULEVARD OF THE GENERALS
City SPOTSYLVANIA
State VA
ZIP 22553-3809
Accounting period End 7
Primary contact name TREVOR CLARKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAM ABED
PRESIDENT
6002 HOT SPRING LANE
FREDERICKSBURG VA 22407-3708

Officer/Director/Trustee Two

CONNIE BARTRAM
TREASURER
5512 STONE MEADOW DRIVE
FREDERICKSBURG VA 22407-4384

Officer/Director/Trustee Three

JASON GEORGE
VICE PRESIDENT
7811 SECLUSION LANE
FREDERICKSBURG VA 22407-8673

Officer/Director/Trustee Four

CLAY SYNAN
DIRECTOR
10420 WOODLAKE COURT
SPOTSYLVANIA VA 22553-1859

Officer/Director/Trustee Five

TREVOR CLARKE
DIRECTOR
8908 BOULEVARD OF THE GENERALS
SPOTSYLVANIA VA 22553-3809

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/2017
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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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