FORM 1023-EZ for LANGLEY HIGH SCHOOL ACADEMIC BOOSTERS

Field Data
EIN 46-2779854
Case Number EO-2017102-000180
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LANGLEY HIGH SCHOOL ACADEMIC BOOSTERS
Organization’s Mailing Address 6520 GEORGETOWN PIKE
City MCLEAN
State VA
ZIP 22101
Accounting period End 6
Primary contact name CINDY GERSONY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY SWAAK
PRESIDENT
737 RIDGE DRIVE
MCLEAN VA 22101

Officer/Director/Trustee Two

PEGGY FLAXMAN
VICE PRESIDENT
1036 NORTHWOODS TRAIL
MCLEAN VA 22102

Officer/Director/Trustee Three

CINDY GERSONY
TREASURER
9231 BLACK RIFFLES COURT
GREAT FALLS VA 22066

Organization’s website WWW.LANGLEYACADEMICBOOSTERS.ORG
Organization’s email LHSACADEMICBOOSTERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/2013
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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