FORM 1023-EZ for LINDALE CHILD CARE PROGRAM

Field Data
EIN 81-3121252
Case Number EO-2016197-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LINDALE CHILD CARE PROGRAM
Organization’s Mailing Address P O BOX 23
City LINVILLE
State VA
ZIP 22834
Accounting period End 8
Primary contact name THERESA L HORST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THERESA HORST
EXECUTIVE DIRECTOR
744 ERICKSON AVE APT 1
ROCKINGHAM VA 22801

Officer/Director/Trustee Two

KARI MILLER
DIRECTOR
210 TANAGER LANE
ELKTON VA 22827

Officer/Director/Trustee Three

LORI PETRIE
DIRECTOR
8832 TURLEYTOWN ROAD
SINGERS GLEN VA 22850

Officer/Director/Trustee Four

CARLITA SHELDON
DIRECTOR
1310 OLD WINDMILL CIRCLE
HARRISONBURG VA 22802

Officer/Director/Trustee Five

NICK ROPP
DIRECTOR
211 MCKINLEY DRIVE
BROADWAY VA 22815

Organization’s website WWW.LINDALECHILDCARE.COM
Organization’s email LCCP@LINDALE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P33 - Child Day Care
Organization’s purpose Charitable: No
Religious: Yes
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 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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