FORM 1023-EZ for VIRGINIA ACADEMY OF OPTOMETRY

Field Data
EIN 47-5665107
Case Number EO-2017009-000385
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VIRGINIA ACADEMY OF OPTOMETRY
Organization’s Mailing Address 300 SOUTH SYCAMORE STREET
City PETERSBURG
State VA
ZIP 23803
Accounting period End 12
Primary contact name GARY LEVINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AJIT TAWARI
DIRECTOR
300 SOUTH SYCAMORE STREET
PETERSBURG VA 23803

Officer/Director/Trustee Two

NINA COX
DIRECTOR
9509 AMBERDALE DRIVE
NORTH CHESTERFIELD VA 23236

Officer/Director/Trustee Three

JOHN DRESELY
DIRECTOR
5505 SHIPLEY COURT
CENTERVILLE VA 23231

Officer/Director/Trustee Four

LINDA PINSKY
DIRECTOR
PO BOX 1118
CHESTERFIELD VA 23231

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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