FORM 1023-EZ for CONCERNED CITIZENS OF ETTRICK

Field Data
EIN 82-3151650
Case Number EO-2018176-000307
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONCERNED CITIZENS OF ETTRICK
Organization’s Mailing Address 6203 GLENLIVET DRIVE
City SOUTH CHESTERFIELD
State VA
ZIP 23803-1401
Accounting period End 12
Primary contact name STARRIE JORDAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STARRIE JORDAN
DIRECTOR
20107 OAKLAND AVENUE
SOUTH CHESTERFIELD VA 23834-5710

Officer/Director/Trustee Two

DELANO DOUGLAS
PRESIDENT
215 WISTERIA LANE
PETERSBURG VA 23805-9166

Officer/Director/Trustee Three

DOROTHY EDWARDS
SECRETARY
17505 KATIE LANE
SOUTH CHESTERFIELD VA 23803-1253

Officer/Director/Trustee Four

TINA MCCRAY
TREASURER
19407 BRAEBROOK DRIVE
SOUTH CHESTERFIELD VA 23834-5674

Officer/Director/Trustee Five

NANCY ROSS
VICE PRESIDENT
6213 GLENLIVET DRIVE
SOUTH CHESTERFIELD VA 23803-1401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/18
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 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 STARRIE JORDAN
Signature Title DIRECTOR
Signature Date 6/21/18

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