FORM 1023-EZ for LONGDALE ELEMENTARY PARENT TEACHER ORGANIZATION

Field Data
EIN 16-1679575
Case Number EO-2017068-000468
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LONGDALE ELEMENTARY PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 9500 NORFOLK STREET
City GLEN ALLEN
State VA
ZIP 23060
Accounting period End 6
Primary contact name BRAD TATE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRAD TATE
PRESIDENT
9113 BROOKWOOD GLEN DRIVE
GLEN ALLEN VA 23060

Officer/Director/Trustee Two

CONNIE REPASS
VICE PRESIDENT
1210 OLD FRANCIS ROAD
GLEN ALLEN VA 23059

Officer/Director/Trustee Three

JENNA DUKES
VOLUNTEER COORDINATOR
1216 COLE BOULEVARD
GLEN ALLEN VA 23060

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2003
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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