FORM 1023-EZ for BEN HOLT MEMORIAL BRANCH INCORPORATED

Field Data
EIN 80-0647328
Case Number EO-2015149-000306
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEN HOLT MEMORIAL BRANCH INCORPORATED
Organization’s Mailing Address PO BOX 60722
City WASHINGTON
State DC
ZIP 20039-0722
Accounting period End 8
Primary contact name KELVIN PAGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KELVIN PAGE
PRESIDENT
1039 HIGGINS WAY
HYATTSVILLE MD 20782-2343

Officer/Director/Trustee Two

WILLIAM JONES
TREASURER
1039 HIGGINS WAY
HYATTSVILLE MD 20782-2343

Officer/Director/Trustee Three

FRANK LOCKER
FINANCIAL SECRETARY
1906 WESTCHESTER DRIVE
SILVER SPRING MD 20902-3561

Officer/Director/Trustee Four

DEBORAH SEWELL
VICE PRESIDENT
707 ELDER ST NW
WASHINGTON DC 20012-1823

Officer/Director/Trustee Five

ANGELI FERRETTE
CORRESPONDENCE SECRETARY
3305 EIGHTH STREET NE APT 108
WASHINGTON DC 20017-3505

Organization’s website WWW.DCNANM.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/2014
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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