FORM 1023-EZ for 107TH DOGWOOD BPSA-US INC

Field Data
EIN 84-2404933
Case Number EO-2019213-000253
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 107TH DOGWOOD BPSA-US INC
Organization’s Mailing Address 155 SOMERVELLE ST
City ALEXANDRIA
State VA
ZIP 22304
Accounting period End 12
Primary contact name NICHOLAS PROVENZO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER KAHLE
PRESIDENT
6110 WYOMA CT
WEST SPRINGFIELD VA 22152-1636

Officer/Director/Trustee Two

MICHELLE KAHLE
TREASURER
6110 WYOMA CT
WEST SPRINGFIELD VA 22152-1636

Officer/Director/Trustee Three

NICHOLAS PROVENZO
SECRETARY
155 SOMERVELLE ST
ALEXANDRIA VA 22304-7731

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O40 - Scouting Organizations
Organization’s purpose Charitable: Yes
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 NICHOLAS PROVENZO
Signature Title SECRETARY
Signature Date 7/30/19

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