FORM 1023-EZ for ASSOCIATION OF VA VOCATIONAL REHABILITATION PROFESSIONALS

Field Data
EIN 90-1010471
Case Number EO-2016102-000065
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ASSOCIATION OF VA VOCATIONAL REHABILITATION PROFESSIONALS
Organization’s Mailing Address PO 103 - NEW LEBANON
City NEW LEBANON
State OH
ZIP 45345
Accounting period End 12
Primary contact name ROB DENNIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROB DENNIS
PRESIDENT/ACTING TREASURER
4100 WEST 3RD ST
DAYTON OH 45428

Officer/Director/Trustee Two

ALLAN FINE
VICE PRESIDENT
10000 BAY PINES BLVD
BAY PINES FL 33744

Officer/Director/Trustee Three

SHARON BARTON
SECRETARY
1201 BROAD ROCK BLVD
RICHMOND VA 23249

Officer/Director/Trustee Four

DANIELLE HALE
CONGRESSIONAL LIAISON
1701 HARDEE AVE BLDV 128
ATLANTA GA 30330

Officer/Director/Trustee Five

DAVID TESHEIRA
AT-LARGE
10 NORTH GREENE STREET
BALTIMORE MD 21201

Organization’s website WWW.AVAVRP.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/2013
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 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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