FORM 1023-EZ for GREAT FALLS SENIORS CENTER

Field Data
EIN 46-1898058
Case Number EO-2015309-000072
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREAT FALLS SENIORS CENTER
Organization’s Mailing Address PO BOX 425
City GREAT FALLS
State VA
ZIP 22066
Accounting period End 12
Primary contact name GEORGE NEWMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID KONDNER SR
PRESIDENT
10920 BECKMAN WAY
GREAT FALLS VA 22066

Officer/Director/Trustee Two

JOYCE TRICKETT
VICE PRESIDENT
1126 RESTON AVE
HERNDON VA 20170

Officer/Director/Trustee Three

GEORGE NEWMAN
TREASURER
9308 ARNON CHAPEL RD
GREAT FALLS VA 22066

Officer/Director/Trustee Four

CAROL BLACKWELL
SECRETARY
1034 CUP LEAF HOLLY
GREAT FALLS VA 22066

Officer/Director/Trustee Five

ROBERT LUNDEGARD
DIRECTOR
950 CARYA CRT
GREAT FALLS VA 22066

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/2012
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
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
Signature Title
Signature Date

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