FORM 1023-EZ for CHESTERFIELD PARTNERSHIP FOR SUCCESSFUL LIVING

Field Data
EIN 82-2547228
Case Number EO-2017270-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHESTERFIELD PARTNERSHIP FOR SUCCESSFUL LIVING
Organization’s Mailing Address P O BOX 2702
City CHESTERFIELD
State VA
ZIP 23832
Accounting period End 12
Primary contact name VINCE BURGESS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VINCE BURGESS
PRESIDENT
6000 WATCH HARBOUR ROAD
MIDLOTHIAN VA 23112-2030

Officer/Director/Trustee Two

PATRICK KNIGHTLY
TREASURER
12707 MILL LUCK TERRACE
MIDLOTHIAN VA 23113-2861

Officer/Director/Trustee Three

LINDA VANAKEN
VICE-PRESIDENT
14606 TALLEYWOOD CT
CHESTER VA 23831-7037

Officer/Director/Trustee Four

JOAN SHIFFLETT
SECRETARY
10800 HASTY LANE SUITE 103
MIDLOTHIAN VA 23112

Officer/Director/Trustee Five

LURENE RECK
DIRECTOR
7400 BEAUFONT SPRINGS DR SUITE 300
NORTH CHESTERFIELD VA 23225-5519

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2017
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
Organization’s purpose Charitable: Yes
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 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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