FORM 1023-EZ for OCTAGON HOUSE FOUNDATION INC

Field Data
EIN 47-1234176
Case Number EO-2014300-000285
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OCTAGON HOUSE FOUNDATION INC
Organization’s Mailing Address P O BOX 1701
City MARION
State VA
ZIP 24354
Accounting period End 12
Primary contact name CHRISTOPHER STOKES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEREK ORR
PRESIDENT
163 RED HILL ROAD
MARION VA 24354

Officer/Director/Trustee Two

GREGORY WARD
VICE PRESIDENT
486 PUGH MOUNTAIN ROAD
MARION VA 24354

Officer/Director/Trustee Three

CHRISTOPHER STOKES
SECRETARY
125 LYNN STREET
MARION VA 24354

Officer/Director/Trustee Four

SHARON DEMPSEY
TREASURER
1338 STONEY BATTERY ROAD
MARION VA 24354

Officer/Director/Trustee Five

MARGARET LINFORD
TRUSTEE
1609 SCTATCH GRAVEL ROAD
MARION VA 24354

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A54 - History Museums
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 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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