FORM 1023-EZ for CLINCH RIVER SOCCER ASSOCIATION INC

Field Data
EIN 80-0634941
Case Number EO-2016326-000078
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLINCH RIVER SOCCER ASSOCIATION INC
Organization’s Mailing Address 206 CHINCH ROW
City RICHLANDS
State VA
ZIP 24641
Accounting period End 12
Primary contact name JEFF HURST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF HURST
PRESIDENT
206 CHINCH ROW
RICHLANDS VA 24641

Officer/Director/Trustee Two

JOSEPH TRIVETTE
TREASURER
PO BOX SVCC
RICHLANDS VA 24641

Officer/Director/Trustee Three

SCOTT BUTCHER
TREASURER
898 CRESSWOOD DRIVE
RICHLANDS VA 24641

Officer/Director/Trustee Four

MICHAEL BANDY
SECRETARY
141 CLINCH DRIVE
POUNDING MILL VA 24637

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/2010
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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
Signature Title
Signature Date

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