FORM 1023-EZ for DOS SANTOS

Field Data
EIN 82-0873641
Case Number EO-2017093-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DOS SANTOS
Organization’s Mailing Address PO BOX 758
City ACCOMAC
State VA
ZIP 23301
Accounting period End 12
Primary contact name ANGELICA GARCIA-RANDLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELICA GARCIA-RANDLE
DIRECTOR
23309 BACK STREET
ACCOMAC VA 23301

Officer/Director/Trustee Two

CAMERON RANDLE
DIRECTOR
23309 BACK STREET
ACCOMAC VA 23301

Officer/Director/Trustee Three

JULIE BADGER
DIRECTOR
15132 BLENHEIM WAY
MELFA VA 23410

Organization’s website WWW.DOSSANTOSFOODPANTRY.ORG
Organization’s email DOSSANTOSFOODPANTRY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2017
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K21 -
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 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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