FORM 1023-EZ for SMITH STATION PTO

Field Data
EIN 20-4109184
Case Number EO-2017090-000296
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SMITH STATION PTO
Organization’s Mailing Address 7320 SMITH STATION ROAD
City FREDERICKSBURG
State VA
ZIP 22407
Accounting period End 6
Primary contact name LAURIE LIVINGSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEGAN PARKER
PRESIDENT
6709 LAKELAND WAY
FREDERICKSBURG VA 22407

Officer/Director/Trustee Two

CARROL MARTIN
VICE PRESIDENT
11302 CURRITUCK CT
FREDERICKSBURG VA 22407

Officer/Director/Trustee Three

LAURIE LIVINGSTON
TREASURER
6210 HOT SPRING LANE
FREDERICKSBURG VA 22407

Officer/Director/Trustee Four

KRISTEN SLOAN
VP OF FUNDRAISING
6021 HOT SPRING LANE
FREDERICKSBURG VA 22407

Officer/Director/Trustee Five

STEPHAINE SOWERS
SECRETARY
7209 WYTHEVILLE CIRCLE
FREDERICKSBURG VA 22407

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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
Signature Title
Signature Date

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