| Field | Data |
|---|---|
| EIN | 61-1726139 |
| Case Number | EO-2016294-000233 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | GOOD SAMARITAN INCORPORATION |
| Organization’s Mailing Address | P O BOX 1080 |
| City | ORANGE |
| State | VA |
| ZIP | 22960 |
| Accounting period End | 12 |
| Primary contact name | TOMMIE BAILEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
TOMMIE BAILEY
EXECUTIVE DIRECTOR
14233 JAMES MADISON HIGHWAY
ORANGE VA 22960
WENDY COLLINS
DIRECTOR
10409 WISTERIA DRIVE
FREDERICKSBURG VA 22408
ALFRIETA BENNETT-REAVES
DIRECTOR
123 FAIRMONT CIRCLE
DANVILLE VA 24521
RAYMOND HARPER
DIRECTOR
9700 DANFORD CT
FREDERICKSBURG VA 22407
TYRONNE CHAMPION
DIRECTOR
11224 FREEDON COURT
BEALETON VA 22712
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/10/2013 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | K31 - Food Banks, Food Pantries |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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