| Field | Data |
|---|---|
| EIN | 81-3504448 |
| Case Number | EO-2016305-000468 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | STACIA NICOLE ANDERSON MEMORIAL FUND |
| Organization’s Mailing Address | 4890 FORT AVE STE B |
| City | LYNCHBURG |
| State | VA |
| ZIP | 24502 |
| Accounting period End | 1 |
| Primary contact name | KEITH ANDERSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
KEITH ANDERSON
DIRECTOR CHAIR
3413 WILSON AVE
LYNCHBURG VA 24501
RENEE ANDERSON
DIRECTOR VICE CHAIR
3413 WILSON AVE
LYNCHBURG VA 24501
MARTHA ANDERSON
DIRECTOR
130 SALISBURRY CIRCLE
LYNCHBURG VA 24502
GERALD ANDERSON
DIRECTOR
9199 N BETHANNE DRIVE
BROWN DEER WI 53223
ERNEST JONES
DIRECTOR
5315 MORGANTON RD
FAYETTEVILLE NC 28314
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/1/2016 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B90 - Educational Services and Schools - Other |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes 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 | 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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