FORM 1023-EZ for VIRGINIA COMMUNITY RESPONSE NETWORK

Field Data
EIN 83-2947872
Case Number EO-2019030-000809
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VIRGINIA COMMUNITY RESPONSE NETWORK
Organization’s Mailing Address 1120 SNOWDEN DRIVE
City CHARLOTTESVILLE
State VA
ZIP 22901-1297
Accounting period End 12
Primary contact name KRIS SANTAMARIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY BECKER-FRITZ
CHAIRPERSON
2429 GAMMONS CREEK DR
MAIDENS VA 23102-2245

Officer/Director/Trustee Two

KRIS SANTAMARIA
VICE-CHAIR
1120 SNOWDEN DRIVE
CHARLOTTESVILLE VA 22901-1297

Officer/Director/Trustee Three

SARA ROBINSON
MARKETING
1627 MULBERRY AVE
CHARLOTTESVILLE VA 22903-3705

Officer/Director/Trustee Four

CRYSTAL HORNING
SECRETARY
4619 MT CLINTON PIKE
HARRISONBURG VA 22802-136

Officer/Director/Trustee Five

RHONWEN HALE
PUBLIC RELATIONS
249 BAKERS BRANCH LN
LOUISA VA 23093-2409

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 KRIS SANTAMARIA
Signature Title VICE-CHAIR
Signature Date 12/27/18

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