FORM 1023-EZ for LAX4ALL

Field Data
EIN 84-4267413
Case Number EO-2020027-000256
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAX4ALL
Organization’s Mailing Address 2623 MILITARY ROAD
City ARLINGTON
State VA
ZIP 22207-5117
Accounting period End 12
Primary contact name JASON RIGOLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON RIGOLI
DIRECTOR, PRESIDENT, & EXEC. DIR.
2623 MILITARY ROAD
ARLINGTON VA 22207-5117

Officer/Director/Trustee Two

CHRISTINE DAVENPORT
DIRECTOR, VP, & SECRETARY
4717 24TH ROAD N
ARLINGTON VA 22207-3516

Officer/Director/Trustee Three

CARLY VILONA
DIRECTOR, VP, & TREASURER
2623 MILITARY ROAD
ARLINGTON VA 22207-5117

Officer/Director/Trustee Four

ADAM KLAUDER
DIRECTOR & VP
4717 24TH ROAD N
ARLINGTON VA 22207-3516

Organization’s website ADAPTIVELAX4ALL.ORG
Organization’s email ADAPTIVELAX4ALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 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 JASON RIGOLI
Signature Title DIRECTOR, PRESIDENT, & EXEC. DIR.
Signature Date 1/23/2020

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