FORM 1023-EZ for NAMI PRINCE WILLIAM

Field Data
EIN 64-0958983
Case Number EO-2018155-000460
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NAMI PRINCE WILLIAM
Organization’s Mailing Address PO BOX 1423
City WOODBRIDGE
State VA
ZIP 22195-1423
Accounting period End 6
Primary contact name PATRICIA VICTORSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARJORIE ANTUS
PRESIDENT
PO BOX 1423
WOODBRIDGE VA 22195-1423

Officer/Director/Trustee Two

SONJA FLOOD
VICE-PRESIDENT
PO BOX 1423
WOODBRIDGE VA 22195-1423

Officer/Director/Trustee Three

SAMUEL HIGGINBOTTOM
TREASURER
PO BOX 1423
WOODBRIDGE VA 22194-1423

Officer/Director/Trustee Four

CAROL RAY
SECRETARY
PO BOX 1423
WOODBRIDGE VA 22195-1423

Officer/Director/Trustee Five

PATRICIA VICTORSON
DIRECTOR
PO BOX 1423
WOODBRIDGE VA 22192-1423

Organization’s website NAMI-PW.ORG
Organization’s email INFO@NAMI-PW.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/07
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
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 MARJORIE ANTUS
Signature Title PRESIDENT
Signature Date 5/31/18

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