FORM 1023-EZ for CLOVER HILL HIGH SCHOOL PTO

Field Data
EIN 47-1096465
Case Number EO-2015224-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLOVER HILL HIGH SCHOOL PTO
Organization’s Mailing Address 13301 KELLY GREEN LANE
City MIDLOTHIAN
State VA
ZIP 23112
Accounting period End 6
Primary contact name DEANNA FRIEDEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GREG EPPS
PRESIDENT
14311 HUNTGATE WOODS RD
MIDLOTHIAN VA 23112

Officer/Director/Trustee Two

LAURA HASFORTH
SECRETARY
12700 FOREST MILL DRIVE
MIDLOTHIAN VA 23112

Officer/Director/Trustee Three

DEANNA FRIEDEL
TREASURER
1947 CORNER ROCK RD
MIDLOTHIAN VA 23113

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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