FORM 1023-EZ for LOUDOUN COMMUNITY CAT COALITION

Field Data
EIN 47-4078108
Case Number EO-2015159-000558
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOUDOUN COMMUNITY CAT COALITION
Organization’s Mailing Address PO BOX 1960
City LEESBURG
State VA
ZIP 20177
Accounting period End 12
Primary contact name KIM FIELDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIM FIELDS
PRESIDENT
209 BIRCH ST
LEESBURG VA 20176

Officer/Director/Trustee Two

JEFFERY NEWMAN
VICE PRESIDENT
7705 STONEY CREEK CT
FAIRFAX STATION VA 22039

Officer/Director/Trustee Three

MELISSA DERBIN
TREASURER
20740 EDGEBROOK CT
ASHBURN VA 20147

Officer/Director/Trustee Four

JACKIE LUCKASEWICZ
SECRETARY
101 D PROSPERITY AVE SE
LEESBURG VA 20175

Officer/Director/Trustee Five

THOMAS BOVE
DIRECTOR
13470 NOLANDS FERRY RD
LEESBURG VA 20176

Organization’s website WWW.LOUDOUNCOMMUNITYCATS.ORG
Organization’s email INFO@LOUDOUNCOMMUNITYCATS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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