FORM 1023-EZ for STONEROLLER

Field Data
EIN 82-3083597
Case Number EO-2017293-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STONEROLLER
Organization’s Mailing Address P O BOX 2054
City ASHBURN
State VA
ZIP 20146
Accounting period End 12
Primary contact name CHERYL TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERYL TAYLOR
PRESIDENT
20935 HOUSEMAN TER
ASHBURN VA 20148

Officer/Director/Trustee Two

ANGELA BUTLER
VICE PRESIDENT
18780 UPPER MEADOW DR
LEESBURG VA 20176

Officer/Director/Trustee Three

KIMBERLY DAVIS
SECRETARY
2216 BUCKINGHAM GREEN
NEWPORT NEWS VA 23602

Officer/Director/Trustee Four

NICALE NXUMALO
TREASURER
7790 TANGIER DR
SPRINGFIELD VA 22153

Officer/Director/Trustee Five

INDIA PINKNEY
BOARD MEMBER
6646 DEER GAP CT
ALEXANDRIA VA 22310

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2017
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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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