FORM 1023-EZ for NATIONAL INDIGENOUS CIRCLE

Field Data
EIN 82-1178901
Case Number EO-2017135-000035
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NATIONAL INDIGENOUS CIRCLE
Organization’s Mailing Address 5763 HARWICH COURT APT 123
City ALEXANDRIA
State VA
ZIP 22311
Accounting period End 12
Primary contact name THERESA SNAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

APESANAHKWAT NLN
CHAIRMAN
2801 EMILY COURT
HAYMARKET VA 20169

Officer/Director/Trustee Two

JOSIAH HILL
VICE CHAIRMAN
337 CHURCH STREET
GLEN ROCK PA 17327

Officer/Director/Trustee Three

ANGEL WASHINGTON
2ND VICE CHAIRMAN
5763 HARWICH COURT APT 123
ALEXANDRIA VA 22311

Officer/Director/Trustee Four

KRISSY POAFPYBITTY
SECRETARY
2801 EMILY COURT
HAYMARKET VA 20169

Officer/Director/Trustee Five

THERESA SNAY
DIRECTOR OF FINANCE
317 CHINKAPIN DRIVE
STEPHENS CITY VA 22655

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2017
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
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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