FORM 1023-EZ for PETERSBURG CRESCENT FOUNDATION

Field Data
EIN 82-2755903
Case Number EO-2021099-000376
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PETERSBURG CRESCENT FOUNDATION
Organization’s Mailing Address 503 MISTLETOE STREET
City PETERSBURG
State VA
ZIP 23803-6353
Accounting period End 6
Primary contact name DR KENNETH W LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALPHONSO DILLARD JR
DIRECTOR
16843 WHITE DAISY LOOP
MOSELEY VA 23120

Officer/Director/Trustee Two

DERRICK BLOUNT
DIRECTOR
3405 CLIFF AVENUE
RICHMOND VA 23222

Officer/Director/Trustee Three

THOMAS WALDON
DIRECTOR
5919 ZION RIDGE DRIVE
NORTH CHESTERFIELD VA 23234

Officer/Director/Trustee Four

STEPHEN MILLER PITTS
DIRECTOR
13837 PARSONS BAY DRIVE
CHESTER VA 23836

Officer/Director/Trustee Five

KENNETH LEWIS
DIRECTOR
503
PETERSBURG VA 23803-6353

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2019
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 Yes
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 KENNETH LEWIS
Signature Title DIRECTOR
Signature Date 3/30/2021

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