FORM 1023-EZ for GRATEFUL HEADS INC

Field Data
EIN 81-4462714
Case Number EO-2016326-000321
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRATEFUL HEADS INC
Organization’s Mailing Address 2135 COLONIAL AVE SW
City ROANOKE
State VA
ZIP 24015
Accounting period End 12
Primary contact name HEIDI BUNDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDY TAYLOR
PRESIDENT
1312 KINGS ARMS DRIVE
SALEM VA 24153

Officer/Director/Trustee Two

HEIDI BUNDY
VP/TREASURER
2135 COLONIAL AVE SW
ROANOKE VA 24015

Officer/Director/Trustee Three

CECILY SIMMONS
SECRETARY
3059 GROUNDHOG MOUNTAIN ROAD
HILLSVILLE VA 24343

Officer/Director/Trustee Four

DOUG JENKS
DONATION COORDINATOR
1529 COUNTY ROAD 12
CENTRAL SQUARE NY 13036

Officer/Director/Trustee Five

ERIC BOWERS
HISTORIAN
21 ORANGE STREET
TIFFIN OH 44883

Organization’s website WWW.GRATEFULHEADS.NET
Organization’s email ANDY@GRATEFULHEADS.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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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