FORM 1023-EZ for I AM RVA

Field Data
EIN 47-3181720
Case Number EO-2015075-000340
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name I AM RVA
Organization’s Mailing Address 2608 TEABERRY DRIVE
City RICHMOND
State VA
ZIP 23236
Accounting period End 12
Primary contact name DR RODNEY SCOTT KEEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SCOTT KEEL
PRESIDENT
2608 TEABERRY DRIVE
RICHMOND VA 23236

Officer/Director/Trustee Two

CHARLEY GATES
VICE PRESIDENT
4510 W FRANKLIN ST
RICHMOND VA 23221

Officer/Director/Trustee Three

HEATHER DIXON
VICE PRESIDENT
1528 H HONEY GROVE DR
RICHMOND VA 23229

Officer/Director/Trustee Four

EVAN HELGESEN
TREASURER
1636 HERITAGE HILL DR
RICHMOND VA 23238

Officer/Director/Trustee Five

WILLIAM STEELE
SECRETARY
1608 BROOKLAND PKWY
RICHMOND VA 23227

Organization’s website WWW.IAMRVA.COM
Organization’s email IAMRVA.COM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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