FORM 1023-EZ for GLOUCESTER UNITED FOR EMERGENCY SHELTER TEAM

Field Data
EIN 47-2439560
Case Number EO-2015273-000348
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GLOUCESTER UNITED FOR EMERGENCY SHELTER TEAM
Organization’s Mailing Address 6536 MOOSE DRIVE
City GLOUCESTER
State VA
ZIP 23061
Accounting period End 12
Primary contact name SVEN VANBAARS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SVEN VANBAARS
CHAIRMAN
PO BOX 82
WHITE MARSH VA 23183

Officer/Director/Trustee Two

KEVIN SWEENEY
VICE CHAIRMAN
6124 ABINGON GLEBE LANE
GLOUCESTER VA 23061

Officer/Director/Trustee Three

KRISTIE ASKEW
SECRETARY
6536 MOOSE DRIVE
GLOUCESTER VA 23061

Officer/Director/Trustee Four

DOUGLAS NAGEL
BOARD MEMBER
6470 MAIN STREET
GLOUCESTER VA 23061

Officer/Director/Trustee Five

THOMAS PACHLA
TREASURER
1590 COLEMAN DRIVE
GLOUCESTER POINT VA 23062

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
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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