FORM 1023-EZ for JOSEPH T STALEY JR NEURODIVERSITY FNDN FOR ADVOCACY & INNOVATION INC

Field Data
EIN 86-3618032
Case Number EO-2021131-000045
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JOSEPH T STALEY JR NEURODIVERSITY FNDN FOR ADVOCACY & INNOVATION INC
Organization’s Mailing Address 8550 CHAPIN STREET
City NORFOLK
State VA
ZIP 23503
Accounting period End 12
Primary contact name SIMONE COLEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIMONE COLEMAN
PRESIDENT
8550 CHAPIN STREET
NORFOLK VA 23503

Officer/Director/Trustee Two

DR KRISTIN BARBOUR
SECRETARY
1540 BREEZEPORT WAY SUITE 500
SUFFOLK VA 23435

Officer/Director/Trustee Three

DR JOANN COLES RIVERS
TREASURER
CONTL RNCH 7051 WEST CANEBRAKE DR
TUCSON AZ 85743

Organization’s website
Organization’s email STALEYST@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/2021
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
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 SIMONE COLEMAN
Signature Title PRESIDENT
Signature Date 5/7/2021

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