FORM 1023-EZ for EDGE HOUSE

Field Data
EIN 84-3741133
Case Number EO-2021100-000355
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EDGE HOUSE
Organization’s Mailing Address 700 TUCKERS ROAD
City PLAIN VIEW
State VA
ZIP 23156
Accounting period End 12
Primary contact name PASTOR CLIFTON CILLINS JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLIFTON COLLINS JR
PRESIDENT
11270 WINDING RIVER ROAD
PROVIDENCE FORGE VA 23140

Officer/Director/Trustee Two

MICHAEL LEVINE
DIRECTOR
2130 LAKE POWELL ROAD
WILLIAMSBURG VA 23185

Officer/Director/Trustee Three

CHARLOTTE BAKER
SECRETARY
8475 AIRPORT ROAD
QUINTON VA 23141

Officer/Director/Trustee Four

DONNA GRILE
DIRECTOR
9270 SMALL WOOD CT
MECHANICSVILLE VA 23116

Officer/Director/Trustee Five

TERRY REED
TREASURER
P O BOX 145
URBANA VA 23175

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P45 - Family Services, Adolescent Parents
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 Yes
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 Yes
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 CLIFTON COLLINS JR
Signature Title PRESIDENT
Signature Date 3/24/2021

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