FORM 1023-EZ for PUBLIC SERVICE LEADERSHIP ACADEMY

Field Data
EIN 83-3532354
Case Number EO-2020232-000054
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PUBLIC SERVICE LEADERSHIP ACADEMY
Organization’s Mailing Address 20247 CATLETT PL
City ASHBURN
State VA
ZIP 20147
Accounting period End 12
Primary contact name MARTHA DORRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTHA DORRIS
PRESIDENT
20247 CATLETT PLACE
ASHBURN VA 20147

Officer/Director/Trustee Two

ALEXANDRA YERKES
SECRETARY
212 APSLEY TERRACE
PURCELLVILLE VA 20132

Officer/Director/Trustee Three

JORIE GELNETT
TREASURER
1210 FEATHERSTONE LN NE
LEESBURG VA 20176-4914

Organization’s website HTTP://THEPSLA.ORG
Organization’s email THEPSLA2019@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2019
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W20 - Government and Public Administration
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 Yes
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 MARTHA DORRIS
Signature Title PRESIDENT
Signature Date 8/17/2020

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