FORM 1023-EZ for BURNT TREE GRANGE ASSOCIATION
| Field | Data |
|---|---|
| EIN | 81-2514247 |
| Case Number | EO-2016133-000162 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | BURNT TREE GRANGE ASSOCIATION |
| Organization’s Mailing Address | GENERAL DELIVERY/ 4709 ORANGE ROAD |
| City | RADIANT |
| State | VA |
| ZIP | 22732 |
| Accounting period End | 12 |
| Primary contact name | GAYLE SHIFFLETT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
GAYLE SHIFFLETT
PRESIDENT
3305 S BLUE RIDGE TURNPIKE
ROCHELLE VA 22738
Officer/Director/Trustee Two
MARGARET GILLEY
TREASURER
1346 N BLUE RIDGE TURNPIKE
MADISON VA 22727
Officer/Director/Trustee Three
PAULINE RACER
VICE-PRESIDENT
1100 ELLY ROAD
ARODA VA 22709
Officer/Director/Trustee Four
JUDITH MAHANES
SECRETARY
P O BOX 328
MADISON VA 22727
Officer/Director/Trustee Five
DONALD GERHART
DIRECTOR
GENERAL DELIVERY
RADIANT VA 22732
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/9/2016 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | K28 - Farm Bureau, Grange |
| 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 | 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 | Yes |
| One Third Support Public | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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