FORM 1023-EZ for CAPE CHARLES ROSENWALD SCHOOL RESTORATION INITIATIVE

Field Data
EIN 27-4056712
Case Number EO-2017052-000129
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAPE CHARLES ROSENWALD SCHOOL RESTORATION INITIATIVE
Organization’s Mailing Address PO BOX 294
City CAPE CHARLES
State VA
ZIP 23310
Accounting period End 7
Primary contact name DANIEL A BROWN CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TEVYA GRIFFIN
PRESIDENT
4441 MELODY ROAD
NORTH CHESTERFIELD VA 23234

Officer/Director/Trustee Two

SHIRLEY GALLOWAY
DIRECTOR
541 MADISON AVENUE
CAPE CHARLES VA 23310

Officer/Director/Trustee Three

MABEL MITCHELL
FINANCE SECRETARY
217 MADISON AVENUE
CAPE CHARLES VA 23310

Officer/Director/Trustee Four

WILLIAM KNIGHT
DIRECTOR
509 ARNIES LOOP
CAPE CHARLES VA 23310

Officer/Director/Trustee Five

JAMES DAVIS
VICE PRESIDENT
533 MASON AVENUE
CAPE CHARLES VA 23310

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A82 - Historical Preservation
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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