FORM 1023-EZ for FRIENDS OF ADAPTIVE RECREATION OF LOUDOUN COUNTY VIRGINIA INC

Field Data
EIN 47-5641471
Case Number EO-2016012-000165
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF ADAPTIVE RECREATION OF LOUDOUN COUNTY VIRGINIA INC
Organization’s Mailing Address PO BOX 804
City LEESBURG
State VA
ZIP 20178
Accounting period End 12
Primary contact name KATHERINE TRASK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBYNN BERQUIST
PRESIDENT
8575 HOLTZCLAW RD
WARRENTON VA 20186-9737

Officer/Director/Trustee Two

JENNIFER REESE
SECRETARY
712 N YORK RD
STERLING VA 20164

Officer/Director/Trustee Three

KATHERINE TRASK
TREASURER
414 TUDOR CT NE
LEESBURG VA 20176

Officer/Director/Trustee Four

VALERIE LALONDE
VICE PRESIDENT
293 WHITEHORSE CT
LEESBURG VA 20175

Officer/Director/Trustee Five

ROWENA BEATTY
DIRECTOR
44870 RIVERMONT TERR 304
ASHBURN VA 20147

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2014
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 Yes
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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