FORM 1023-EZ for THE GATEWOOD MARTIN MANSION FOUNDATION

Field Data
EIN 83-4569574
Case Number EO-2019176-000114
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE GATEWOOD MARTIN MANSION FOUNDATION
Organization’s Mailing Address 524 FAIRFAX AVENUE
City NORFOLK
State VA
ZIP 23507
Accounting period End 5
Primary contact name SUZANNE OTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

POLLY JONES
DIRECTOR
P O BOX 3303
NORFOLK VA 23514-3303

Officer/Director/Trustee Two

S SUZANNE OTT
DIRECTOR
711 COLONIAL AVENUE
NORFOLK VA 23507

Officer/Director/Trustee Three

WENDY AUERBACH
TREASURER
610 SHIRLEY AVENUE
NORFOLK VA 23517

Officer/Director/Trustee Four

SHEILA KILPATRICK
DIRECTOR
1860 WOLFSNARE RD
VA BEACH VA 23454

Officer/Director/Trustee Five

J PAIGE ROSE
SECRETARY
608 BALDWIN AVE
NORFOLK VA 23517

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
Organization’s purpose Charitable: Yes
Religious: No
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 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 POLLY JONES
Signature Title DIRECTOR
Signature Date 6/20/19

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