FORM 1023-EZ for A GRATEFUL NATION INC

Field Data
EIN 45-2998697
Case Number EO-2018046-000210
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A GRATEFUL NATION INC
Organization’s Mailing Address 16020 CHURCH ST
City AMELIA
State VA
ZIP 23002
Accounting period End 12
Primary contact name BRIAN RICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN RICH
PRESIDENT
16020 CHURCH ST
AMELIA VA 23002

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/14
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics 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 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 BRIAN RICH
Signature Title PRESIDENT
Signature Date 2/12/18
EIN 45-2998697
Case Number EO-2015110-000282
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A GRATEFUL NATION
Organization’s Mailing Address 16020 CHURCH STREET
City AMELIA COURT HOUSE
State VA
ZIP 23002
Accounting period End 12
Primary contact name BRIAN RICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN RICH
SECRETARY, DIRECTOR
16020 CHURCH STREET
AMELIA COURT HOUSE VA 23002

Officer/Director/Trustee Two

SUSAN RICH
PRESIDENT, DIRECTOR
16020 CHURCH STREET
AMELIA COURT HOUSE VA 23002

Officer/Director/Trustee Three

ROBERT LEE
DIRECTOR
11802 PRINCE REGENT PLACE
RICHMOND VA 23233

Officer/Director/Trustee Four

RANDY RODACHY
DIRECTOR
4310 BRIARWICK DRIVE
RICHMOND VA 23235

Officer/Director/Trustee Five

JANET LAVAGNINO
DIRECTOR
6311 SOUTH RIDGE COURT
FREDERICKSBURG VA 22553

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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
Signature Title
Signature Date

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