FORM 1023-EZ for NATIONAL CHARITY LEAGUE INC - VIRGINIA BLUEBELL CHAPTER

Field Data
EIN 47-5058789
Case Number EO-2015279-000006
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NATIONAL CHARITY LEAGUE INC - VIRGINIA BLUEBELL CHAPTER
Organization’s Mailing Address 6722 HARTWOOD LANE
City CENTREVILLE
State VA
ZIP 20121
Accounting period End 5
Primary contact name GAYLE VAN HORN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAULETTE BERGSTEDT
PRESIDENT
6722 HARTWOOD LANE
CENTREVILLE VA 20121

Officer/Director/Trustee Two

GAYLE VAN HORN
TREASURER
6564 PALISADES DRIVE
CENTREVILLE VA 20121

Officer/Director/Trustee Three

KRISTIN ROBINSON
SECRETARY
15294 SURREY HOUSE WAY
CENTREVILLE VA 20120

Officer/Director/Trustee Four

STEFANIE RAGANO
VICE PRESIDENT - MEMBERSHIP
14114 ROAMER COURT
CENTREVILLE VA 20121

Officer/Director/Trustee Five

KISTIN SMITH
VICE PRESIDENT - PHILANTHROPY
11704 SUMACS STREET
OAKTON VA 22124

Organization’s website NATIONALCHARITYLEAGUE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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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