FORM 1023-EZ for HOLLY FORK FARM EDUCATIONAL SERVICES INC

Field Data
EIN 82-5483786
Case Number EO-2019035-000493
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOLLY FORK FARM EDUCATIONAL SERVICES INC
Organization’s Mailing Address 4901 HOLLY FORK RD
City BARHAMSVILLE
State VA
ZIP 23011-2168
Accounting period End 12
Primary contact name STEPHANIE D RIPCHICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE RIPCHICK
CHIEF EXECUTIVE OFFICER, TREASURER
4901 HOLLY FORK ROAD
BARHAMSVILLE VA 23011-2168

Officer/Director/Trustee Two

SOPHIE RIPCHICK
SECRETARY
4901 HOLLY FORK RD
BARHAMSVILLE VA 23011-2168

Officer/Director/Trustee Three

JAMES RIPCHICK
BOARD MEMBER
4901 HOLLY FORK RD
BARHAMSVILLE VA 23011-2168

Officer/Director/Trustee Four

RICHARD DEAN JR
BOARD MEMBER
4901 HOLLY FORK ROAD
BARHAMSVILLE VA 23011-2168

Officer/Director/Trustee Five

LISA BURCHAM
BOARD MEMBER
4860 HOLLY FORK RD
BARHAMSVILLE VA 23011-2168

Organization’s website
Organization’s email HOLLYFORKFARM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K20 - Agricultural Programs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
Correctness Declaration Yes
Signature Name STEPHANIE RIPCHICK
Signature Title CHIEF EXECUTIVE OFFICER, TREASURER
Signature Date 1/10/19

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