FORM 1023-EZ for CRATER CAREGIVER COALITION

Field Data
EIN 20-5279527
Case Number EO-2016358-000135
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CRATER CAREGIVER COALITION
Organization’s Mailing Address PO BOX 1234
City COLONIAL HEIGHTS
State VA
ZIP 23834
Accounting period End 12
Primary contact name ALLEN MOSER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM HUMPHRIES
PRESIDENT
704 OLD OAK LN
COLONIAL HEIGHTS VA 23834

Officer/Director/Trustee Two

ALLEN MOSER
TREASURER
8100 HERMITAGE RD
HENRICO VA 23228

Officer/Director/Trustee Three

MARY ANN HAMILTON
SECRETARY
125 SUFFOLK AVE
COLONIAL HEIGHTS VA 23834

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/2006
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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