FORM 1023-EZ for COMMUNITY MOUNTAIN INC

Field Data
EIN 84-3120385
Case Number EO-2020051-000366
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY MOUNTAIN INC
Organization’s Mailing Address 5114 INGLEWOOD ROAD
City LYNCHBURG
State VA
ZIP 24503
Accounting period End 12
Primary contact name CLAYTOR G COLEMAN III
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLAYTOR COLEMAN
PRESIDENT
5114 INGLEWOOD ROAD
LYNCHBURG VA 24503

Officer/Director/Trustee Two

C GRAHAM COLEMAN
TREASURER
1603 SOMERSET DR
LYNCHBURG VA 24503

Officer/Director/Trustee Three

FRANCHIZ FREZEN
SECRETARY
1200 GREENVIEW DR APT 202
LYNCHBURG VA 24502

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2019
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 CLAYTOR COLEMAN
Signature Title PRESIDENT
Signature Date 2/18/2020

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