FORM 1023-EZ for FOREST PARK HIGH SCHOOL PARENT-TEACHER-STUDENT ORGANIZATION

Field Data
EIN 47-3766524
Case Number EO-2015218-000450
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOREST PARK HIGH SCHOOL PARENT-TEACHER-STUDENT ORGANIZATION
Organization’s Mailing Address 5028 LEATHERBACK ROAD
City WOODBRIDGE
State VA
ZIP 22193
Accounting period End 6
Primary contact name VINCENT MURPHY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEE DEE SMALLWOOD
PRESIDENT
15305 EGGLESTETTON COURT
ASHLAND VA 20112

Officer/Director/Trustee Two

KARMON PRIMAS-HAILEY
VICE-PRESIDENT
4701 GREENFIELD PLACE
MONTCLAIR VA 22025

Officer/Director/Trustee Three

JILL PALERMO
SECRETARY
4494 SOUTHWOOD PLACE
MONTCLAIR VA 22025

Officer/Director/Trustee Four

BEATRICE EVANS
TREASURER
15276 MARIBELLE PLACE
WOODBRIDGE VA 22193

Officer/Director/Trustee Five

VINCENT MURPHY
DIRECTOR
5028 LEATHERBACK ROAD
WOODBRIDGE VA 22193

Organization’s website FORESTPARKPTSO.ORG
Organization’s email FORESTPARKPTSO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2015
Organization Incorporation State VA
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: Yes
Educational: Yes
Scientific: Yes
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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