FORM 1023-EZ for POTOMAC CHAPTER NORTH AMERICAN VERSATILE HUNTING DOG ASSOCIATION

Field Data
EIN 87-2831329
Case Number EO-2021279-000221
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POTOMAC CHAPTER NORTH AMERICAN VERSATILE HUNTING DOG ASSOCIATION
Organization’s Mailing Address 331 WEST 42 ST
City BALTIMORE
State MD
ZIP 21211
Accounting period End 12
Primary contact name VICTOR KERNUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICTOR KERNUS
PRESIDENT
9701 SOUTH RUN OAKS DRIVE
FAIRFAX STATION VA 22039

Officer/Director/Trustee Two

JAMES HARRIS
VICE PRESIDENT
245 STAUTON JASPER ROAD
WASHING COURT HOUSE OH 43160

Officer/Director/Trustee Three

ROBERT MINEHART
TREASURER
8619 GEORGETOWN PIKE
MCLEAN VA 22012

Officer/Director/Trustee Four

VICTOR KERNUS
SECRETARY
9701 SOUTH RUN OAKS DRIVE
FAIRFAX STATION VA 22039

Organization’s website WWW.POTOMACNAVHDA.COM
Organization’s email VKERNUS406@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2021
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
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 VICTOR KERNUS
Signature Title SECRETARY
Signature Date 10/4/2021

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