FORM 1023-EZ for MATT TALBOT 116

Field Data
EIN 81-3106151
Case Number EO-2017184-000250
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MATT TALBOT 116
Organization’s Mailing Address 13203 KERR PLACE
City CULPEPER
State VA
ZIP 22701-1828
Accounting period End 12
Primary contact name GREGORY HOFFMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY HOFFMAN
COMMITTEE CHAIR
13203 KERR PLACE
CULPEPER VA 22701-1828

Officer/Director/Trustee Two

ANTHONY TOTH
TREASURER
8637 WALES ROAD
WARRENTON VA 20186-8552

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X11 - Single Organization Support
Organization’s purpose Charitable: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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