FORM 1023-EZ for CAMPION HOMESCHOOL ASSOCIATION INC

Field Data
EIN 85-3891878
Case Number EO-2021035-000071
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMPION HOMESCHOOL ASSOCIATION INC
Organization’s Mailing Address 9 MONARCH DRIVE
City HOPEWELL JUNCTION
State NY
ZIP 12533
Accounting period End 6
Primary contact name ELSA LEKOVIC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLYN COLLURA
PRESIDENT
9 MONARCH DRIVE
HOPEWELL JUNCTION NY 12533

Officer/Director/Trustee Two

KRISTIN GAWLEY
VICE PRESIDENT
42 WEDGEWOOD DR
DANBURY CT 06811

Officer/Director/Trustee Three

NORA MERRIAM
SECRETARY
18 MACARTHUR BLVD
CORTLANDT MANOR NY 10567

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CAROLYN COLLURA
Signature Title PRESIDENT
Signature Date 12/14/2020

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