FORM 1023-EZ for FAIRFAX COUNTY COMMUNITY EMERGENCYRESPONSE TEAM VOLUNTEER ASSOCIATION

Field	Data
EIN	84-2083323
Case Number	EO-2019171-000245
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	FAIRFAX COUNTY COMMUNITY EMERGENCYRESPONSE TEAM VOLUNTEER ASSOCIATION
Organization’s Mailing Address	12099 GOVERNMENT CENTER PARKWAY
City	FAIRFAX
State	VA
ZIP	22035-5501
Accounting period End	12
Primary contact name	ELVIA FOIL TREASURER
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

MARY ELIZABETH TUTTLE-FERRIO
PRESIDENT
2918 20TH STREET SOUTH
ARLINGTON VA 22204-5228

Officer/Director/Trustee Two

ELVIA FOIL
TREASURER
7315 LAKETREE DRIVE
FAIRFAX STATION VA 22039-2936

Officer/Director/Trustee Three

JAMES MCPHEETERS
SECRETARY
8447 LAKE MIST WAY
FAIRFAX STATION VA 22039-2676

Officer/Director/Trustee Four

ANITA VAN DER MERWE
VICE-PRESIDENT
12104 ELM FOREST WAY APT A
FAIRFAX VA 22030-7746

Officer/Director/Trustee Five

JAMES SOBECKE
MEMBER-AT-LARGE
8820 VICTORIA ROAD
SPRINGFIELD VA 22151-1131

Organization’s website	N/A
Organization’s email
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	5/21/19
Organization Incorporation State	VA
Contains Limitation	Yes
Does not expressly empower	Yes
Contains dissolution	Yes
National Taxonomy of Exempt Entities (NTEE) code	M20 - Disaster Preparedness and Relief Services
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	Yes
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	ANITA VAN DER MERWE
Signature Title	VICE-PRESIDENT
Signature Date	6/18/19
EIN	84-2083323
Case Number	EO-2019171-000245
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	FAIRFAX COUNTY COMMUNITY EMERGENCY RESPONSE TEAM VOLUNTEER ASSOCIATION
Organization’s Mailing Address	12099 GOVERNMENT CENTER PARKWAY
City	FAIRFAX
State	VA
ZIP	22035-5501
Accounting period End	12
Primary contact name	ELVIA FOIL TREASURER
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00