FORM 1023-EZ for PVAS FOUNDATION INC

Field Data
EIN 30-0726155
Case Number EO-2015362-000215
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PVAS FOUNDATION INC
Organization’s Mailing Address 6211 OLD GLORY LANE
City RIXEYVILLE
State VA
ZIP 22151
Accounting period End 12
Primary contact name GERALD ALAN HOFFMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GERALD HOFFMAN
REGISTERED AGENT
6211 OLD GLORY LANE
RIXEYVILLE VA 22151

Officer/Director/Trustee Two

MICHAEL BARBER
OFFICER
12606 BAYARD DRIVE
RESTON VA 20191-5802

Officer/Director/Trustee Three

FRANK COWHERD
OFFICER
5640 FENWICK ROAD
BRYANS ROAD MD 20616

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2012
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States Yes
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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