FORM 1023-EZ for PARTNERSHIP FOR CLAEAN WATER AND EDUCATION

Field Data
EIN 82-1548482
Case Number EO-2017180-000377
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PARTNERSHIP FOR CLAEAN WATER AND EDUCATION
Organization’s Mailing Address 107 ROYAL ST SW NUM B
City LEESBURG
State VA
ZIP 20175
Accounting period End 12
Primary contact name HENRY STRIBLING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL REIMERS
CHAIRMAN OF THE BOARD
107 ROYAL ST SW NUM B
LEESBURG VA 20175

Officer/Director/Trustee Two

JANET JOSEPH
VICE CHAIR
510 WOLFE COURT SW
LEESBURG VA 20175

Officer/Director/Trustee Three

JEFFREY GRIMM
TREASURER
20349 MEDALIST DRIVE
ASHBURN VA 20147

Officer/Director/Trustee Four

KIMBERLY STRIBLING
SECRETARY
36911 GAVER MILL RD
PURCELLVILLE VA 20132

Officer/Director/Trustee Five

HENRY STRIBLING
BOARD MEMBER
36911 GAVER MILL ROAD
PURCELLVILL VA 20132

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2017
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
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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