FORM 1023-EZ for LOUDOUN CAREER FIRE FIGHTERS FOUNDATION

Field Data
EIN 81-3190086
Case Number EO-2016210-000619
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOUDOUN CAREER FIRE FIGHTERS FOUNDATION
Organization’s Mailing Address 102 DRY MILL ROAD SW SUITE 101
City LEESBURG
State VA
ZIP 20175
Accounting period End 12
Primary contact name BARRY SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROB LEEPER
PRESIDENT
433 SHADOW HAWK LANE
KEARNEYSVILLE WV 25403

Officer/Director/Trustee Two

BARRY SMITH
SECTY/TREASURER
20065 SILVER CREEK TERR APT 207
ASHBURN VA 20147

Officer/Director/Trustee Three

DILLON HUSS
VICE PRESIDENT
25435 ELM TERRACE
ALDIE VA 20105

Officer/Director/Trustee Four

JOHN MYERS
DIRECTOR
21763 WATSON ROAD
LEESBURG VA 20175

Officer/Director/Trustee Five

TROY GITTINGS
DIRECTOR
36525 SARASOTA STREET
ROUND HILL VA 20141

Organization’s website WWW.IAFF3756.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 Yes
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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