FORM 1023-EZ for CONGREGATE CHARLOTTESVILLE

Field Data
EIN 82-3599019
Case Number EO-2018107-000794
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONGREGATE CHARLOTTESVILLE
Organization’s Mailing Address PO BOX 2293
City CHARLOTTESVILLE
State VA
ZIP 22902
Accounting period End 12
Primary contact name BRITTANY CAINE-CONLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRITTANY CAINE-CONLEY
PRESIDENT
PO BOX 2293
CHARLOTTESVILLE VA 22902

Officer/Director/Trustee Two

ROBERT LEWIS
TREASURER
PO BOX 2293
CHARLOTTESVILLE VA 22902

Officer/Director/Trustee Three

JENNIFER PHILIPPS
VICE PRESIDENT
PO BOX 2293
CHARLOTTESVILLE VA 22902

Officer/Director/Trustee Four

PHILLIP WOODSON
DIRECTOR
PO BOX 2293
CHARLOTTESVILLE VA 22902

Officer/Director/Trustee Five

JEANITA RICHARDSON
DIRECTOR
PO BOX 2293
CHARLOTTESVILLE VA 22902

Organization’s website WWW.CONGREGATECVILLE.COM
Organization’s email CONGREGATECVILLE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/17
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X01 - Alliance/Advocacy Organizations
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 BRITTANY CAINE-CONLEY
Signature Title PRESIDENT
Signature Date 3/29/18

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