FORM 1023-EZ for HICKORY HILL ACADEMY PARENT ADVISORY BOARD INC

Field Data
EIN 87-1066275
Case Number EO-2021161-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HICKORY HILL ACADEMY PARENT ADVISORY BOARD INC
Organization’s Mailing Address 3276 S HIGH POINT ROAD
City MADISON
State WI
ZIP 53719
Accounting period End 12
Primary contact name CHRISTOPHER T SCHMIDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATT DAHL
VICE-PRESIDENT TREASURER
3276 S HIGH POINT ROAD
MADISON WI 53719

Officer/Director/Trustee Two

JENNY DAHL
DIRECTOR PRESIDENT
3276 S HIGH POINT ROAD
MADISON WI 53719

Officer/Director/Trustee Three

ANDREA GROHER
DIRECTOR
3276 S HIGH POINT ROAD
MADISON WI 53719

Officer/Director/Trustee Four

JENNIFER RINDFLEISCH
DIRECTOR
3276 S HIGH POINT ROAD
MADISON WI 53719

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2021
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
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 MATT DAHL
Signature Title VICE-PRESIDENT TREASURER
Signature Date 6/9/2021

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