FORM 1023-EZ for PETRA PEACEBUILDERS INC

Field Data
EIN 81-1443466
Case Number EO-2016092-000300
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PETRA PEACEBUILDERS INC
Organization’s Mailing Address PO BOX 725 27 VIRGINIA ROAD
City IRVINGTON
State VA
ZIP 22480
Accounting period End 2
Primary contact name SAMANTHA VAN SAUN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BIANCA NEFF
PRESIDENT
132 FRANK DRIVE
CHESAPEAKE VA 23322

Officer/Director/Trustee Two

SAMANTHA VAN SAUN
TREASURER
PO BOX 725 27 VIRGINIA ROAD
IRVINGTON VA 22480

Officer/Director/Trustee Three

LORETTA BUTTS
VICE PRESIDENT
7400 PINAL AVENUE
ATASCADERO CA 93422

Officer/Director/Trustee Four

LUCAS WOLF
SECRETARY
1925 KEDRON COURT
FORT COLLINS CO 80524

Officer/Director/Trustee Five

BENJAMIN DEAN
BOARD MEMBER
105 MUIRFIELD WAY
LEXINGTON SC 29072

Organization’s website WWW.PETRAPEACEBUILDERS.ORG
Organization’s email INFO@PETRAPEACEBUILDERS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States Yes
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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