FORM 1023-EZ for LORRAINE BETHEA FOUNDATION
| Field | Data |
|---|---|
| EIN | 81-2304514 |
| Case Number | EO-2016130-000246 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | LORRAINE BETHEA FOUNDATION |
| Organization’s Mailing Address | 103 SOUTH PANTOPS DRIVE SUITE 205 |
| City | CHARLOTTESVILLE |
| State | VA |
| ZIP | 22911 |
| Accounting period End | 12 |
| Primary contact name | DAVID HASLUP |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
BRENDA COBB
PRESIDENT
516 S INDEPENDENCE BLVD STE 106
VIRGINIA BEACH VA 23452
Officer/Director/Trustee Two
DAVID HASLUP
TREASURER
103 S PANTOPS DRIVE SUITE 205
CHARLOTTESVILLE VA 22911
Officer/Director/Trustee Three
KELLY HASLUP
SECRETARY
103 S PANTOPS DRIVE SUITE 205
CHARLOTTESVILLE VA 22911
Officer/Director/Trustee Four
M POWELL PETERS
DIRECTOR
200 BENDIX ROAD SUITE 300
VIRGINIA BEACH VA 23452
Officer/Director/Trustee Five
CHARLES WEBB
DIRECTOR
5 WARWICK CRESCENT
NEWPORT NEWS VA 23601
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/13/2016 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P74 - Hospice |
| 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 | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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