FORM 1023-EZ for VALLEY FAMILY FORUM INC

Field Data
EIN 84-2293767
Case Number EO-2019186-000386
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VALLEY FAMILY FORUM INC
Organization’s Mailing Address PO BOX 881
City HARRISONBURG
State VA
ZIP 22803
Accounting period End 12
Primary contact name DEAN M NICHOLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEAN WELTY
PRESIDENT
PO BOX 881
HARRISONBURG VA 22803

Officer/Director/Trustee Two

TRAVIS WITT
VICE PRESIDENT
PO BOX 881
HARRISONBURG VA 22803

Officer/Director/Trustee Three

RITA DUNAWAY
VICE PRESIDENT
PO BOX 881
HARRISONBURG VA 22803

Officer/Director/Trustee Four

JANET WELTY
SECRETARY/TREASURER
PO BOX 881
HARRISONBURG VA 22803

Organization’s website WWW.VALLEYFAMILYFORUM.ORG
Organization’s email FAMILY@VALLEYFAMILYFORUM.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
Religious: Yes
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 DEAN WELTY
Signature Title PRESIDENT
Signature Date 7/3/19

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