FORM 1023-EZ for CHESTERFIELD GIVES BACK

Field Data
EIN 87-1771409
Case Number EO-2021237-000211
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHESTERFIELD GIVES BACK
Organization’s Mailing Address 8401 KALLIOPE PLACE
City CHESTERFIELD
State VA
ZIP 23838
Accounting period End 12
Primary contact name ADAM BERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM BERRY
PRESIDENT & DIRECTOR
8401 KALLIOPE PLACE
CHESTERFIELD VA 23838

Officer/Director/Trustee Two

CHRISTOPHER EDWARDS
SECRETARY & DIRECTOR
10606 STERLING COVE DRIVE
CHESTERFIELD VA 23838

Officer/Director/Trustee Three

DANIEL OWEN
TREASURER & DIRECTOR
8200 NOLTLAND CT
CHESTERFIELD VA 23838

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents No
Organization Incorporation Date 7/19/2021
Organization Incorporation State VA
Contains Limitation No
Does not expressly empower No
Contains dissolution No
National Taxonomy of Exempt Entities (NTEE) code M12 - 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 Yes
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 No
Signature Name ADAM BERRY
Signature Title PRESIDENT & DIRECTOR
Signature Date 8/23/2021

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