FORM 1023-EZ for FAITH BASED COALITION OF PASTORS LEADERS AND CONCERNED CITIZENS

Field Data
EIN 46-4170201
Case Number EO-2016210-000046
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAITH BASED COALITION OF PASTORS LEADERS AND CONCERNED CITIZENS
Organization’s Mailing Address 207 OUTLAW STREET
City CHESAPEAKE
State VA
ZIP 23320
Accounting period End 12
Primary contact name JOHN VEAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN VEAL
CHAIRPERSON
207 OUTLAW STREET
CHESAPEAKE VA 23320

Officer/Director/Trustee Two

ANN NEVERSON
TREASURER
1821 FERNDALE AVENUE
PETERSBURG VA 23803

Officer/Director/Trustee Three

WILLIE DERR
VICE CHAIRPERSON
1558 BOISSEAU DRIVE
PRINCE GEORGE VA 23875

Officer/Director/Trustee Four

MARIAN GOODE
SECOND VICE CHAIRPERSON
23004 COMANS WELL ROAD
WAVERLY VA 23890

Officer/Director/Trustee Five

DANNY TUCKER
ADMINISTRATIVE ASSISTANT
508 APPOMATTOX STREET
HOPEWELL VA 23860

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/22/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W90 - Consumer Protection, Safety
Organization’s purpose Charitable: Yes
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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