FORM 1023-EZ for UNITED VISION

Field Data
EIN 84-3008059
Case Number EO-2019291-000238
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNITED VISION
Organization’s Mailing Address 1016 NEWKIRK DR
City RICHMOND
State VA
ZIP 23224
Accounting period End 12
Primary contact name MICHELLE MAYS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE MAYS
DIRECTOR, OFFICER
1016 NEWKIRK DR
RICHMOND VA 23224

Officer/Director/Trustee Two

TIARA MAYS
DIRECTOR, OFFICER
1016 NEWKIRK DR
RICHMOND VA 23224

Officer/Director/Trustee Three

JAWUAN JEFFERSON
OFFICER
2608 PINE LAKE DR
RICHMOND VA 23223

Officer/Director/Trustee Four

KISHKA GOODEN
OFFICER
5703 GROVE FOREST RD
MIDLOTHIAN VA 23112

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family 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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance Yes
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 MICHELLE MAYS
Signature Title DIRECTOR, OFFICER
Signature Date 10/16/19

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