FORM 1023-EZ for CENTRAL VIRGINIA MEDIATION NETWORKINC

Field Data
EIN 56-2657890
Case Number EO-2014344-000405
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTRAL VIRGINIA MEDIATION NETWORKINC
Organization’s Mailing Address PO BOX 71733
City HENRICO
State VA
ZIP 23255
Accounting period End 12
Primary contact name CHARLENE LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HEATHER SHOFIELD
PRESIDENT
8302 GWINNETT ROAD
RICHMOND VA 23229

Officer/Director/Trustee Two

ALFRED BRIDGER
VICE PRESIDENT
10603 BAYPINES LANE
RICHMOND VA 23238

Officer/Director/Trustee Three

NANCY BROOKING
SECRETARY
6933 COMMONS PLAZA STE 236
CHESTERFIELD VA 23832

Officer/Director/Trustee Four

CHARLENE LEE
TREASURER
10400 WALBROOK DRIVE
HENRICO VA 23238

Officer/Director/Trustee Five

CHRISTOPHER GRAFF
POWER OF ATTORNEY
154 NEWTOWN RD B4
VIRGINIA BEACH VA 23462

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/1997
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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