FORM 1023-EZ for DIGNITY NORTHERN VIRGINIA

Field Data
EIN 54-1887015
Case Number EO-2016028-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DIGNITY NORTHERN VIRGINIA
Organization’s Mailing Address P O BOX 100566
City ARLINGTON
State VA
ZIP 22210-3566
Accounting period End 12
Primary contact name DAVID LAMDIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSEPH HENNESSY
PRESIDENT
7137 OAK RIDGE RD
FALLS CHURCH VA 22042

Officer/Director/Trustee Two

ELIZABETH WILLS
VICE PRESIDENT
2108 S QUEBEC ST
ARLINGTON VA 22204

Officer/Director/Trustee Three

DAVID LAMDIN
DIRECTOR
1515 N KIRKWOOD RD
ARLINGTON VA 22201-3566

Officer/Director/Trustee Four

JOHN WILLIAMS
DIRECTOR
4600 S FOUR MILE RUN DR UNIT 741
ARLINGTON VA 22204

Officer/Director/Trustee Five

EILEEN HANRAHAN
DIRECTOR
8685 ENOCHS DRIVE
LORTON VA 22079

Organization’s website DIGNITYNOVA.ORG
Organization’s email DIGNITYNOVA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/1998
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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