FORM 1023-EZ for ABRAM LODGE NUMBER 10 CHARITABLE FOUNDATION INC

Field Data
EIN 81-2723400
Case Number EO-2016190-000001
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ABRAM LODGE NUMBER 10 CHARITABLE FOUNDATION INC
Organization’s Mailing Address 1004 HALIFAX STREET
City PETERSBURG
State VA
ZIP 23803
Accounting period End 12
Primary contact name BENITA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RODNEY TUCKER
BOARD MEMBER
121 NORTH PLAINS DRIVE
PETERSBURG VA 23805

Officer/Director/Trustee Two

WILLIAM PORTER III
PRESIDENT
1817 W PRINCETON ROAD
PETERSBURG VA 23805

Officer/Director/Trustee Three

ROBERT SCOTT
VICE-PRESIDENT
2619 N STEDMAN DR NUMBER 43
PETERSBURG VA 23803

Officer/Director/Trustee Four

GEORGE BARNES
SECRETARY
3111 FIELD ROAD
PETERSBURG VA 23805

Officer/Director/Trustee Five

BOBBY SALTER
TREASURER
11110 CONTINENTAL COURT
PETERSBURG VA 23805

Organization’s website
Organization’s email DITASTS@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 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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