FORM 1023-EZ for VIRGINIA DERMATOLOGY SOCIETY

Field Data
EIN 83-3551265
Case Number EO-2019176-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VIRGINIA DERMATOLOGY SOCIETY
Organization’s Mailing Address 44 CONCORD RD
City MARLBOROUGH
State MA
ZIP 1752
Accounting period End 2
Primary contact name JANE LYNCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ART SAAVEDRA
PRESIDENT
1215 LEE STREET
CHARLOTTESILLE VA 22903

Officer/Director/Trustee Two

EMILY PRIVETTE
VICE PRESIDENT
600 PETER JEFFERSON PARKWAY
CHARLOTTESILLE VA 22911

Officer/Director/Trustee Three

VALERIE HARVEY
SECRETARY & TREASURER
860 OMNI BLVD
NEWPORT NEWS VA VA 23606

Officer/Director/Trustee Four

JANE LYNCH
PRESIDENT ELECT
1600 NORTH COALTER STREET
STAUNTON VA 24401

Officer/Director/Trustee Five

JANET HICKMAN
PAST PRESIDENT
1330 OAK LN
LYNCHBURG VA 24503

Organization’s website
Organization’s email VADERMSOCIETY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: Yes
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 JANE LYNCH
Signature Title PRESIDENT ELECT
Signature Date 6/20/19

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