FORM 1023-EZ for BELMONT CARLTON NEIGHBORHOOD ASSOCIATION

Field Data
EIN 27-2007657
Case Number EO-2016085-000463
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELMONT CARLTON NEIGHBORHOOD ASSOCIATION
Organization’s Mailing Address PO BOX 1126
City CHARLOTTESVILLE
State VA
ZIP 22902
Accounting period End 12
Primary contact name JOHN MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EUGENIO SCHETTINI
PRESIDENT
PO BOX 1126
CHARLOTTESVILLE VA 22902

Officer/Director/Trustee Two

WILL VAN DE LINDE
VICE PRESIDENT
PO BOX 1126
CHARLOTTESVILLE VA 22902

Officer/Director/Trustee Three

JOHN MILLER
TREASURER
PO BOX 1126
CHARLOTTESVILLE VA 22902

Officer/Director/Trustee Four

LAUREN PURNELL
SECRETARY
PO BOX 1126
CHARLOTTESVILLE VA 22902

Officer/Director/Trustee Five

DEB JACKSON
AT LARGE
PO BOX 1126
CHARLOTTESVILLE VA 22902

Organization’s website HTTP://WWW.BELMONT-CARLTON.COM/
Organization’s email BELMONTCARLTON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2012
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S22 - Neighborhood, Block Associations
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 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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