FORM 1023-EZ for GRAVES MILL COMMUNITY FOUNDATION

Field Data
EIN 82-4550788
Case Number EO-2018186-000215
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRAVES MILL COMMUNITY FOUNDATION
Organization’s Mailing Address 1763 BLUFF MOUNTAIN RD
City GRAVES MILL
State VA
ZIP 22727-3379
Accounting period End 12
Primary contact name JAMES H MALONEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES MALONEY
PRESIDENT DIRECTOR
1763 BLUFF MOUNTAIN RD
GRAVES MILL VA 22727-3379

Officer/Director/Trustee Two

GREGORY WUESTENHAGEN
SECRETARY TREASURER DIRECTOR
GRAVES MILL RD
GRAVES MILL VA 22727-2711

Officer/Director/Trustee Three

DIANE UMBERTE
DIRECTOR
478 GENERAL BANKS RD
GRAVES MILL VA 22727-3338

Officer/Director/Trustee Four

JOHN DOBBINS
DIRECTOR
1837 FENDALL AVE
CHARLOTTESVILLE VA 22903-1642

Officer/Director/Trustee Five

RANDALL LILLARD
DIRECTOR
4980 GRAVES MILL RD
GRAVES MILL VA 22727-3375

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/17
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 JAMES MALONEY
Signature Title PRESIDENT DIRECTOR
Signature Date 7/2/18

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