FORM 1023-EZ for MOUNT JACKSON HOMETOWN PARTNERSHIP

Field Data
EIN 83-3437013
Case Number EO-2019150-000175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNT JACKSON HOMETOWN PARTNERSHIP
Organization’s Mailing Address PO BOX 1146
City MOUNT JACKSON
State VA
ZIP 22842
Accounting period End 12
Primary contact name JOHN BOOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN BOOR
CHAIRMAN
1310 HORSESHOE CIRCLE
WOODSTOCK VA 22664

Officer/Director/Trustee Two

MARK BOWYER
VICE CHAIRMAN
166 SHANNON AVE
MOUNT JACKSON VA 22842

Officer/Director/Trustee Three

KAREN COSTIE
TREASURER
5152 DOGWOOD DRIVE
MOUNT JACKSON VA 22842

Organization’s website MOUNTJACKSONHP.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 JOHN BOOR
Signature Title CHAIRMAN
Signature Date 5/26/19

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