FORM 1023-EZ for BLUE RIDGE GREEN BURIAL

Field Data
EIN 85-1480715
Case Number EO-2020174-000586
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE RIDGE GREEN BURIAL
Organization’s Mailing Address 179 ZEPHYR CIRCLE SE
City FLOYD
State VA
ZIP 24091
Accounting period End 12
Primary contact name PHILIP OLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILIP OLSON
DIRECTOR
506 SOUGHGATE DRIVE
BLACKSBURG VA 24060-5437

Officer/Director/Trustee Two

ISABEL BERNEY
TRUSTEE
105 COUNTRYSIDE COURT
BLACKSBURG VA 24060

Officer/Director/Trustee Three

PERRIN HEARTWAY
DIRCTOR
179 ZEPHYR CIR SE
FLOYD VA 24091

Officer/Director/Trustee Four

KRISTY RATCLIFFE
TRUSTEE
249 LEVEL BOTTOM ROAD NE
CHECK VA 24072

Officer/Director/Trustee Five

LINDA HASS
TRUSTEE
202 SILVER MAPLE LANE
PILOT VA 24138

Organization’s website
Organization’s email FLOYDGREENBURIAL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C60 - Environmental Education and Outdoor Survival Programs
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 PHILIP OLSON
Signature Title DIRECTOR
Signature Date 6/18/2020

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