FORM 1023-EZ for MICAH WORKS

Field Data
EIN 82-2133634
Case Number EO-2018333-000121
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MICAH WORKS
Organization’s Mailing Address 1580 POES LN
City CHARLOTTESVILLE
State VA
ZIP 22911-7535
Accounting period End 12
Primary contact name LAURA WOODWORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA WOODWORTH
PRESIDENT
1580 POES LN
CHARLOTTESVILLE VA 22911-7535

Officer/Director/Trustee Two

TERRY WOODWORTH
SECRETARY
1580 POES LN
CHARLOTTESVILLE VA 22911-7535

Officer/Director/Trustee Three

MICHELLE MORTON
TREASURER
101 LYON LANE
RUCKERSVILLE VA 22968-3656

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 LAURA WOODWORTH
Signature Title PRESIDENT
Signature Date 11/26/18

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