FORM 1023-EZ for ANGELS OF CHAMPIONS

Field Data
EIN 83-4290621
Case Number EO-2019100-000241
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANGELS OF CHAMPIONS
Organization’s Mailing Address PO BOX 946
City HARDY
State VA
ZIP 24101
Accounting period End 12
Primary contact name JEFFREY T CULLINANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLYN HAUCK
DIRECTOR
PO BOX 946
HARDY VA 24101

Officer/Director/Trustee Two

LEIGH ANN VENABLE
DIRECTOR
PO BOX 946
HARDY VA 24101

Officer/Director/Trustee Three

DENISE BERNHEIM
DIRECTOR
PO BOX 946
HARDY VA 24101

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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 CAROLYN HAUCK
Signature Title DIRECTOR
Signature Date 4/8/19

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