FORM 1023-EZ for BOTETOURT CHAMBER OF COMMERCE FOUNDATION INC

Field Data
EIN 85-3374946
Case Number EO-2021203-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOTETOURT CHAMBER OF COMMERCE FOUNDATION INC
Organization’s Mailing Address PO BOX 413
City DALEVILLE
State VA
ZIP 24083
Accounting period End 6
Primary contact name KHARI RYDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FOREST WAGNER
PRESIDENT
290 ANDREW DR
TROUTVILLE VA 24175

Officer/Director/Trustee Two

KEITH HARTMAN
SECRETARY
1074 GLEBE RD
DALEVILLE VA 24083

Officer/Director/Trustee Three

ANNA MONCURE
TREASURER
2514 MEMORIAL AVE SW
ROANOKE VA 24015

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2021
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 FOREST WAGNER
Signature Title PRESIDENT
Signature Date 7/20/2021

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