FORM 1023-EZ for BELLEFONTE GRANGE 15

Field Data
EIN 47-2311942
Case Number EO-2014321-000407
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELLEFONTE GRANGE 15
Organization’s Mailing Address 1300 WEST COLONIAL TRAIL
City BLACKSTONE
State VA
ZIP 23824
Accounting period End 12
Primary contact name ROGER MALBONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LAWRENCE MARSHALL
MASTER
461 WILLS ROAD
AMELIA VA 23002

Officer/Director/Trustee Two

ROBERT WARD
OVERSEER
ROCKY HILL ROAD
BLACKSTONE VA 23824

Officer/Director/Trustee Three

MAUDE MALBONE
TREASURER
1300 WEST COLONIAL TRAIL
BLACKSTONE VA 23824

Officer/Director/Trustee Four

WILLIAM PAULETT
EXECUTIVE COMMITTEE
S MAIN STREET
BLACKSTONE VA 23824

Officer/Director/Trustee Five

ROGER MALBONE
EXECUTIVE COMMITTEE
1300 COLONIAL TRAIL HWY
BLACKSTONE VA 23824

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2008
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 Yes
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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