FORM 1023-EZ for ESSEX HIGH SCHOOL PARENT TEACHER STUDENT ORGANIZATION

Field Data
EIN 46-2234277
Case Number EO-2018096-000087
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ESSEX HIGH SCHOOL PARENT TEACHER STUDENT ORGANIZATION
Organization’s Mailing Address 833 HIGH SCHOOL CIRCLE
City TAPPAHANNOCK
State VA
ZIP 22560
Accounting period End 6
Primary contact name ROBIN HARMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN HARMON
PRESIDENT
288 BRUCE RD
TAPPAHANNOCK VA 22560

Officer/Director/Trustee Two

HOPE BROOKS
VICE PRESIDENT
326 DUNBROOKE RD
TAPPAHANNOCK VA 22560

Officer/Director/Trustee Three

MARY KATHRYN BRIZENDINE
TREASURER
1558 HOWERTON RD
DUNNSVILLE VA 22454

Officer/Director/Trustee Four

MICHEAL PLUMMER
SECRETARY
2003 SCOTTS MILL RD
TAPPAHANNOCK VA 22560

Organization’s website
Organization’s email US5HARMONS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/16
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: No
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 ROBIN HARMON
Signature Title PRESIDENT
Signature Date 4/4/18

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