FORM 1023-EZ for THE COUNTRY CLUB OF VIRGINIA CARESFOUNDATION

Field Data
EIN 47-1693523
Case Number EO-2014258-000459
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE COUNTRY CLUB OF VIRGINIA CARESFOUNDATION
Organization’s Mailing Address 6031 SAINT ANDREWS LANE
City RICHMOND
State VA
ZIP 23226-3210
Accounting period End 12
Primary contact name J PATRICK BECKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KELLI THOMPSON
DIRECTOR
6031 SAINT ANDREWS LANE
RICHMOND VA 23226-3210

Officer/Director/Trustee Two

KAROL CLINE
DIRECTOR
6031 SAINT ANDREWS LANE
RICHMOND VA 23226-3210

Officer/Director/Trustee Three

ELLEN WEST
DIRECTOR
6031 SAINT ANDREWS LANE
RICHMOND VA 23226-3210

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 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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