FORM 1023-EZ for FRIENDS OF THE DUMFRIES SLAVE CEMETERY

Field Data
EIN 82-3540230
Case Number EO-2018024-000151
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF THE DUMFRIES SLAVE CEMETERY
Organization’s Mailing Address 3525 WATERS END TRAIL
City LAKE RIDGE
State VA
ZIP 22192-7114
Accounting period End 12
Primary contact name HARRY W WIGGINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NORMA FIELDS
PRESIDENT AND DIRECTOR
15709 BEACON COURT
DUMFRIES VA 22025

Officer/Director/Trustee Two

BRET COULSON
VICE PRESIDENT AND DIRECTOR
17004 SILVER ARROW COURT
POTOMAC SHORES VA 22026

Officer/Director/Trustee Three

NANCY LYALL
TREASURER AND DIRECTOR
14186 LOGAN COURT
WOODBRIDGE VA 22193

Officer/Director/Trustee Four

ANTHONY FIELDS
SECRETARY AND DIRECTOR
15709 BEACON COURT
DUMFRIES VA 22025

Officer/Director/Trustee Five

JOANNE BAGNERISE
DIRECTOR
16662 MALORY COURT
DUMFRIES VA 22025

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y50 - Cemeteries, Burial Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 NORMA FIELDS
Signature Title PRESIDENT AND DIRECTOR
Signature Date 1/22/18

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