FORM 1023-EZ for THE BELMONT RESIDENTIAL INN INC

Field Data
EIN 61-1754443
Case Number EO-2015100-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE BELMONT RESIDENTIAL INN INC
Organization’s Mailing Address 11506 BEND BOW DRIVE
City FREDERICKSBURG
State VA
ZIP 22407
Accounting period End 12
Primary contact name SHON MCCARLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SYLVIA MOORE
CEO
11506 BEND BOW DRIVE
FREDERICKSBURG VA 22407

Officer/Director/Trustee Two

JOSEPH MOORE
PRESIDENT
11506 BEND BOW DRIVE
FREDERICKSBURG VA 22407

Officer/Director/Trustee Three

STACY HARRIS
VICE PRESIDENT
112 WEST MAIN STREET
ORANGE VA 22960

Officer/Director/Trustee Four

SAMUEL PASTURNACK
DIRECTOR
175 SPICER MILL ROAD
ORANGE, VA 22960

Officer/Director/Trustee Five

KATRINA SCHULTZ
DIRECTOR
5408 COTTONWOOD DRIVE
FREDERICKSBURG VA 22407

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
One Third Support Gifts No
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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