FORM 1023-EZ for SHENANDOAH VALLEY COMMUNITY VETERANS ENGAGEMENT BOARD

Field Data
EIN 84-3618829
Case Number EO-2019322-000223
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHENANDOAH VALLEY COMMUNITY VETERANS ENGAGEMENT BOARD
Organization’s Mailing Address 1460 UNIVERSITY DRIVE
City WINCHESTER
State VA
ZIP 22601-5100
Accounting period End 12
Primary contact name JARED H TRUBAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM PACKHAM
CHAIR, DIRECTOR
102 CARDINAL LANE
WINCHESTER VA 22602-6101

Officer/Director/Trustee Two

ASHLEY MOSLAK
CO-CHAIR, DIRECTOR
108 AYRSHIRE COURT
STEPHENS CITY VA 22655-2318

Officer/Director/Trustee Three

ANDRE MILLER
SECRETARY
105 STONY POINTE WAY
STRASBURG VA 22657-2670

Officer/Director/Trustee Four

NICCOLE GATLIFF
TREASURER, DIRECTOR
1460 UNIVERSITY DRIVE
WINCHESTER VA 22601-5100

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 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 NICCOLE GATLIFF
Signature Title TREASURER, DIRECTOR
Signature Date 11/14/19

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