FORM 1023-EZ for FLEETWOOD COMMUNITY CENTER

Field Data
EIN 90-0081111
Case Number EO-2015029-000203
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLEETWOOD COMMUNITY CENTER
Organization’s Mailing Address 143 GUNTER HOLLOW RD
City ROSELAND
State VA
ZIP 22967
Accounting period End 12
Primary contact name JEAN PAYNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BARBARA MYERS
PRESIDENT
691 OLD ROSELAND RD
ROSELAND VA 22967

Officer/Director/Trustee Two

DALE ROGERS
VICE-PRESIDENT
POST OFFICE BOX 514
PINEY RIVER VA 22964

Officer/Director/Trustee Three

JEAN PAYNE
TREASURER
143 GUNTER HOLLOW RD
ROSELAND VA 22967

Officer/Director/Trustee Four

BONNIE STEVENS
SECRETARY
820 PHARSLIA RD
ROSELAND VA 22967

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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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