FORM 1023-EZ for NORTHERN HILLS ACADEMY PTO INC

Field Data
EIN 83-3052724
Case Number EO-2020129-000245
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN HILLS ACADEMY PTO INC
Organization’s Mailing Address 84 CONSTITUTION WAY
City FRANKLIN
State NJ
ZIP 07416
Accounting period End 12
Primary contact name FARAH ANSARI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI TODD
PRESIDENT
84 CONSTITUTION WAY
FRANKLIN NJ 07416

Officer/Director/Trustee Two

CAITLIN DIAZ
VICE PRESIDENT
128 WARREN ROAD
SPARTA NJ 07871

Officer/Director/Trustee Three

CASEY SMITH
SECRETARY
38 DAVIS ROAD
BRANCHVILLE NJ 07826

Officer/Director/Trustee Four

RACHEL WEISS
TREASURER
32 MEYERS ROAD
SANDYSTON NJ 07826

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2020
Organization Incorporation State NJ
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: 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 Yes
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LORI TODD
Signature Title PRESIDENT
Signature Date 5/6/2020

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