FORM 1023-EZ for ONE SPARROW

Field Data
EIN 46-2967767
Case Number EO-2015072-000749
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ONE SPARROW
Organization’s Mailing Address 9317 BRANDON STREET
City MANASSAS PARK
State VA
ZIP 20111-8203
Accounting period End 12
Primary contact name SOLITAIRE CARROLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SOLITAIRE CARROLL
CO-FOUNDER
9317 BRANDON STREET
MANASSAS PARK VA 20111-8203

Officer/Director/Trustee Two

JEFFREY CARROLL JR
CO-FOUNDER, CHAIRMAN OF BOARD
9317 BRANDON STREET
MANASSAS PARK VA 20111-8203

Officer/Director/Trustee Three

ANTHONY FRANCIS
BOARD MEMBER
347 WHIPP DRIVE SE
LEESBURG VA 20175

Officer/Director/Trustee Four

PHYLLIS RANDALL
BOARD MEMBER
19221 CREEK FIELD CIRCLE
LANSDOWNE VA 20176

Officer/Director/Trustee Five

JEANNE JOSEPH
BOARD MEMBER
2160 ASTORIA CIR APT 115
HERNDON VA 20170-4081

Organization’s website WWW.ONESPARROWDC.ORG
Organization’s email ONESPARROWDC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2013
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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
Signature Title
Signature Date

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