FORM 1023-EZ for CHESTER BELLOC ALUMNI ASSOCIATION

Field Data
EIN 81-2432198
Case Number EO-2016252-000277
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHESTER BELLOC ALUMNI ASSOCIATION
Organization’s Mailing Address 16 MASTERS DRIVE
City STAFFORD
State VA
ZIP 22554
Accounting period End 12
Primary contact name JENNIFER MAZZARA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN CONNOLLY
PRESIDENT
426 DUNCAN AVE
FRONT ROYAL VA 22630

Officer/Director/Trustee Two

TYLER LOWE
VICE PRESIDENT
800 S ARLINGTON MILL DR UNIT204
ARLINGTON VA 22204

Officer/Director/Trustee Three

BENJAMIN HOUGH
TREASURER
10219 LEESBURG PIKE
VIENNA VA 22182

Officer/Director/Trustee Four

JENNIFER MAZZARA
SECRETARY
16 MASTERS DRIVE
STAFFORD VA 22554

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
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 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
Signature Title
Signature Date

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