FORM 1023-EZ for OUR MCLEAN HOME
| Field | Data |
|---|---|
| EIN | 85-3709517 |
| Case Number | EO-2020307-000729 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | OUR MCLEAN HOME |
| Organization’s Mailing Address | 1652 LA SALLE AVENUE |
| City | MCLEAN |
| State | VA |
| ZIP | 22102 |
| Accounting period End | 6 |
| Primary contact name | VERONICA KRAMER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CARLOS CALDERON
CHAIRMAN OF THE BOARD
1300 ARMY NAVY DRIVE - 1028
ARLINGTON VA 22202-2020
Officer/Director/Trustee Two
RITA VARGAS
OFFICER TREASURER
7202 GENTIAN COURT
SPRINGFIELD VA 22152
Officer/Director/Trustee Three
VERONICA KRAMER
OFFICER SECRETARY
1652 LA SALLE AVENUE
MCLEAN VA 22102
Officer/Director/Trustee Four
GLORIA M FURTADO
OFFICER
2742 ASHMONT TER
SILVER SPRING MD 20151
Officer/Director/Trustee Five
ADAM STANISLAWSKI
OFFICER
13706 SPRINGHAVEN DRIVE
CHANTILLY VA 20151
| Organization’s website | WWW.OURMCLEANHOME.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/29/2020 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P73 - Group Home (Long Term) |
| 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 | VERONICA KRAMER |
| Signature Title | OFFICER SECRETARY |
| Signature Date | 10/30/2020 |
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