FORM 1023-EZ for NORTHERN VIRGINIA HUMAN TRAFFICKINGINITIATIVE

Field Data
EIN 47-1749414
Case Number EO-2014251-000553
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHERN VIRGINIA HUMAN TRAFFICKINGINITIATIVE
Organization’s Mailing Address 43941 BRUCETON MILLS CIRCLE
City ASHBURN
State VA
ZIP 20147
Accounting period End 12
Primary contact name ROBERTA KAY DUFFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERTA DUFFIELD
DIRECTOR AND PRESIDENT
43941 BRUCETON MILLS CIRCLE
ASHBURN VA 20147

Officer/Director/Trustee Two

ELISA JOHNSTON
DIRECTOR AND SECRETARY
44018 ABERDEEN TERRACE
ASHBURN VA 20147

Officer/Director/Trustee Three

KIMBERLY HARSHAW
DIRECTOR AND TREASURER
14208 MORNING DOVE LANE B
CENTREVILLE VA 20121

Officer/Director/Trustee Four

STEVEN STEINBERG
DIRECTOR
12804 TURBERVILLE LANE
HERNDON VA 20171

Officer/Director/Trustee Five

MEAGAN CAESAR
DIRECTOR
9620 INNERWICK PLACE
BRISTOW VA 20136

Organization’s website WWW.NOVAHTI.COM
Organization’s email KAY@NOVAHTI.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R20 - Civil Rights, Advocacy for Specific Groups
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 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
Signature Title
Signature Date

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