FORM 1023-EZ for NORTH STAFFORD COMMUNITY IMPROVEMENT LEAGUE

Field Data
EIN 37-1780061
Case Number EO-2015139-000152
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH STAFFORD COMMUNITY IMPROVEMENT LEAGUE
Organization’s Mailing Address PO BOX 2294
City STAFFORD
State VA
ZIP 22555-2294
Accounting period End 12
Primary contact name EDWIN PARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL NEUHARD
PRESIDENT
304 CUTTER COVE
STAFFORD VA 22554

Officer/Director/Trustee Two

EDWIN PARK
TREASURE
1006 POTOMAC DRIVE
STAFFORD VA 22554

Officer/Director/Trustee Three

KATHY BLANKENSHIP
VICE PRESIDENT
309 RAFT COVE
STAFFORD VA 22554

Officer/Director/Trustee Four

ALICIA SMITH
SECRETARY
11 FRANCIS COURT
STAFFORD VA 22554

Officer/Director/Trustee Five

RUSS PATISHNOCK
DIRECTOR
2021 DELAWARE DRIVE
STAFFORD VA 22554

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2014
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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