FORM 1023-EZ for WESTERN MARYLAND SCHOOL PSYCHOLOGISTS ASSOCIATION

Field Data
EIN 26-3517052
Case Number EO-2015257-000317
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTERN MARYLAND SCHOOL PSYCHOLOGISTS ASSOCIATION
Organization’s Mailing Address 1501 NORTH MARKET STREET ROOM 1100
City FREDERICK
State MD
ZIP 21701-4430
Accounting period End 6
Primary contact name LISA DEKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEB FLEAGLE
PRESIDENT
7989 ROCKY RIDGE ROAD ROOM 519
THURMONT MD 21788-1349

Officer/Director/Trustee Two

JEN LUHRS
VICE PRESIDENT
1501 NORTH MARKET STREET ROOM 1100
FREDERICK MD 21701-4430

Officer/Director/Trustee Three

LISA DEKETT
TREASURER
1501 NORTH MARKET STREET ROOM 1100
FREDERICK MD 21701-4430

Officer/Director/Trustee Four

KATHERINE MANGUS
SECRETARY
5850 EAGLEHEAD DRIVE
IJAMSVILLE MD 21754-9711

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2008
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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