FORM 1023-EZ for ISSA OF VIRGINIA INC

Field Data
EIN 45-4020103
Case Number EO-2018284-000087
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ISSA OF VIRGINIA INC
Organization’s Mailing Address 500 E BUTE ST
City NORFOLK
State VA
ZIP 23510
Accounting period End 12
Primary contact name BRUCE WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUSBORN BRUCE WILLIAMS
DIRECTOR, PRESIDENT
1068 MEADOW GROVE TRAIL
VIRGINIA BEAC VA 23455

Officer/Director/Trustee Two

CLARA J HILL-POTTER
DIRECTOR
2211 MALTBY AVE
NORFOLK VA 23504

Officer/Director/Trustee Three

ALEXIS C ROGERS
DIRECTOR
706 RIDGE CIRCLE
CHESAPEAKE VA 23320

Officer/Director/Trustee Four

CLYDE THOMAS CLARK JR
DIRECTOR
4308 CROSSINGS COURT
CHESAPEAKE VA 23321

Officer/Director/Trustee Five

JERRY HOLMES
DIRECTOR
3340 NANSEMOND RIVER DR
SUFFOLK VA 23435

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/01
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S31 - Urban, Community Economic Development
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Correctness Declaration Yes
Signature Name AUSBORN BRUCE WILLIAMS
Signature Title DIRECTOR, PRESIDENT
Signature Date 10/9/18

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