FORM 1023-EZ for PAGE INC

Field Data
EIN 61-1802649
Case Number EO-2016319-000362
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAGE INC
Organization’s Mailing Address 9972 LEANDER LANE
City MANASSAS
State VA
ZIP 20110
Accounting period End 12
Primary contact name TELIA FARBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TELIA FARBER
CEO/PRESIDENT
9972 LEANDER LANE
MANASSAS VA 20110-7821

Officer/Director/Trustee Two

MELISSA DAVIS
BOARD OF DIRECTORS
11389 AEGEAN TERRACE
WOODBRIDGE VA 22192-9700

Officer/Director/Trustee Three

ARTISE GILL
BOARD OF DIRECTORS
149 BASALT DRIVE
FREDERICKSBURG VA 22406-8221

Officer/Director/Trustee Four

TRAVIS NEAL
BOARD OF DIRECTORS
6045 ABERNETHY LANE
GAINESVILLE VA 20155-9997

Officer/Director/Trustee Five

MILTON SHARP
BOARD OF DIRECTORS
8772 LORDS VIEW LOOP
GAINESVILLE VA 20155-9997

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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
Signature Title
Signature Date

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