FORM 1023-EZ for HERON POND MONTESSORI SCHOOL PSA

Field Data
EIN 47-3197706
Case Number EO-2015082-000403
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HERON POND MONTESSORI SCHOOL PSA
Organization’s Mailing Address 3910 POOR RIDGE ROAD
City KITTY HAWK
State NC
ZIP 27949
Accounting period End 6
Primary contact name JESSICA SANDS - PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JESSICA SANDS
PRESIDENT
3910 POOR RIDGE ROAD
KITTY HAWK NC 27949

Officer/Director/Trustee Two

EMILY PHARR
TREASURER
3910 POOR RIDGE ROAD
KITTY HAWK NC 27949

Officer/Director/Trustee Three

ERYN THOMAS
CO-VICE PRESIDENT
3910 POOR RIDGE ROAD
KITTY HAWK NC 27949

Officer/Director/Trustee Four

MARIE READ
CO-VICE PRESIDENT
3910 POOR RIDGE ROAD
KITTY HAWK NC 27949

Officer/Director/Trustee Five

DAWN KIOUSIS
SECRETARY
3910 POOR RIDGE ROAD
KITTY HAWK NC 27949

Organization’s website
Organization’s email HERON.POND.PSA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2015
Organization Incorporation State NC
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 No
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
Signature Title
Signature Date

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