FORM 1023-EZ for VIRGINIA SURGE

Field Data
EIN 83-1145952
Case Number EO-2018211-000320
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VIRGINIA SURGE
Organization’s Mailing Address 4818 E LEE HIGHWAY
City MAX MEADOWS
State VA
ZIP 24360
Accounting period End 12
Primary contact name THOMAS CANNOY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS CANNOY
DIRECTOR AND PRESIDENT
4818 E LEE HIGHWAY
MAX MEADOWS VA 24360

Officer/Director/Trustee Two

LAUREN CANNOY
VP/TREASURER/SECRETARY
4818 E LEE HIGHWAY
MAX MEADOWS VA 24360

Officer/Director/Trustee Three

J R GILMAN
DIRECTOR
766 CASTLETON RD
MAX MEADOWS VA 24360

Officer/Director/Trustee Four

GARY CODY
DIRECTOR
2174 E LEE HIGHWAY
WYTHEVILLE VA 24382

Officer/Director/Trustee Five

TRAVIS CHAPMAN
DIRECTOR
260 ROLLING HILLS DRIVE
MARION VA 24354

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/18
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: No
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 THOMAS CANNOY
Signature Title DIRECTOR AND PRESIDENT
Signature Date 7/27/18

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