FORM 1023-EZ for BEACON OF PRINCE WILLIAM COUNTY

Field Data
EIN 82-0769209
Case Number EO-2017087-000191
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEACON OF PRINCE WILLIAM COUNTY
Organization’s Mailing Address 12824 APOLLO DRIVE
City WOODBRIDGE
State VA
ZIP 22193
Accounting period End 12
Primary contact name ERIK DORMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNN ERIK DORMAN
PRESIDENT
12824 APOLLO DRIVE
WOODBRIDGE VA 22193

Officer/Director/Trustee Two

ARIKA OROZCO
VICE PRESIDENT
13284 KENNY ROAD
WOODBRIDGE VA 22193

Officer/Director/Trustee Three

BRIAN MILLER
SECRETARY
15343 WARM SPRINGS AVEUE
MANASSAS VA 20112

Officer/Director/Trustee Four

APRIL KIDD
TREASURER
5510 BLASIUS COURT
WOODBRIDGE VA 22193

Officer/Director/Trustee Five

STEVEN WHEELER
BOARD MEMBER AT LARGE
5931 HARVEST SUN ROAD
WOODBRIDGE VA 22193

Organization’s website
Organization’s email BEACONPWC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2017
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 No
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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