FORM 1023-EZ for VIOLENCE INTERRUPTED

Field Data
EIN 83-0966105
Case Number EO-2018178-000298
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VIOLENCE INTERRUPTED
Organization’s Mailing Address 712 H STREET NE SUITE 541
City WASHINGTON
State VA
ZIP 20002
Accounting period End 12
Primary contact name MICHAEL SALAZAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL SALAZAR
OFFICER
8621 HUDDERSFIELD WAY
BRISTOW VA 20136

Officer/Director/Trustee Two

JENNIFER KALITA
DIRECTOR
1501 HUGO CIRCLE
SILVER SPRING MD 20906

Organization’s website HTTPS://WWW.VIOLENCEINTERRUPTED.ORG
Organization’s email HELLO@VIOLENCEINTERRUPTED.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/18
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I73 - Sexual Abuse, Prevention of
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 Yes
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 MICHAEL SALAZAR
Signature Title OFFICER
Signature Date 6/25/18

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