FORM 1023-EZ for MIDDLE PENINSULA CHRISTIAN HOMELESSCENTER

Field Data
EIN 47-2850159
Case Number EO-2016172-000226
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIDDLE PENINSULA CHRISTIAN HOMELESSCENTER
Organization’s Mailing Address 7745 KELLY AVENUE
City GLOUCESTER
State VA
ZIP 23061
Accounting period End 12
Primary contact name WENDY ROUNDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WENDY ROUNDY
PRESIDENT
7745 KELLY AVENUE
GLOUCESTER VA 23061

Officer/Director/Trustee Two

CATHERINE SNOWDEN
TREASURER
9467 DUTTON ROAD
DUTTON VA 23050

Officer/Director/Trustee Three

GARY BROWN
BOARD MEMBER
205 ROSE LANE
GWYNN VA 23066

Officer/Director/Trustee Four

BONNIE PARKER
SECRETARY
136 ROSE LANE
GWYNN VA 23066

Officer/Director/Trustee Five

DOUGLAS ROUNDY
VICE PRESIDENT
7745 KELLY AVENUE
GLOUCESTER VA 23061

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
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 Yes
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 Yes
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
Signature Title
Signature Date

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