FORM 1023-EZ for GIVING BACK SOCIETY

Field Data
EIN 81-2822977
Case Number EO-2016165-000504
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GIVING BACK SOCIETY
Organization’s Mailing Address 5339 FORDWICK DR
City ROANOKE
State VA
ZIP 24018
Accounting period End 12
Primary contact name CAROLYN KAZNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GAIL BRUMBERG
CORRESPONDING SECRETARY/DIRECTOR
2232 ROSS LANE SW
ROANOKE VA 24015

Officer/Director/Trustee Two

SANDRA CARROLL
VICE-PRESIDENT/DIRECTOR
108 BARTLEY DR
SALEM VA 24153

Officer/Director/Trustee Three

CAROLYN KAZNER
PRESIDENT/DIRECTOR
5339 FORDWICK DR
ROANOKE VA 24018

Officer/Director/Trustee Four

DOUGLAS POWELL
TREASURER/DIRECTOR
3511 BUNKER HILL DR
ROANOKE VA 24018

Officer/Director/Trustee Five

GWEN KROPFF
RECORDING SECRETARY/DIRECTOR
1830 WOODMERE CT
SALEM VA 24153

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 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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