FORM 1023-EZ for BELMONT RURITAN FOUNDATION

Field Data
EIN 82-3979391
Case Number EO-2018051-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BELMONT RURITAN FOUNDATION
Organization’s Mailing Address PO BOX 654
City MINERAL
State VA
ZIP 23117
Accounting period End 12
Primary contact name STEVEN FORTNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN FORTNER
PRESIDENT
6600 SUNRISE BAY DRIVE
MINERAL VA 23117

Officer/Director/Trustee Two

STEPHEN FRITZ
VICE PRESIDENT
6509 WATERVIEW LANE
MINERAL VA 23117

Officer/Director/Trustee Three

DAVID RICE
TREASURER
16221 PIRATES COVE
ORANGE VA 22960

Officer/Director/Trustee Four

GARY JACKSON
SECRETARY
6011 BILLS ROAD
MINERAL VA 23117

Officer/Director/Trustee Five

DONALD BURRIDGE
DIRECTOR
9512 SILVER COLLECTION CIR APT 130
FREDERICKSBURG VA 22408

Organization’s website HTTPS://BELMONTRURITAN.ORG/FOUNDATION
Organization’s email STEVE@BELMONTRURITAN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/18
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STEVEN FORTNER
Signature Title PRESIDENT
Signature Date 2/16/18

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