FORM 1023-EZ for BURKE CARES

Field Data
EIN 81-3745449
Case Number EO-2017044-000512
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BURKE CARES
Organization’s Mailing Address 10409 HERITAGE LANDING ROAD
City BURKE
State VA
ZIP 22015-2533
Accounting period End 12
Primary contact name LINDA COTTRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA COTTRELL
EXECUTIVE DIRECTOR, TREASURER
10409 HERITAGE LANDING ROAD
BURKE VA 22015-2533

Officer/Director/Trustee Two

RACHEL PAK
DIRECTOR, SECRETARY
10009 WHIDBEY LANE
BURKE VA 22015-3843

Officer/Director/Trustee Three

PAULA PRITCHARD
DIRECTOR
5919 OAK RIDGE COURT
BURKE VA 22015-2436

Officer/Director/Trustee Four

TARA WORTH
DIRECTOR
9828 WOLCOTT DRIVE
BURKE VA 22015-3841

Officer/Director/Trustee Five

JOHN PAK
DIRECTOR
10009 WHIDBEY LANE
BURKE VA 22015-3843

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
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 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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