FORM 1023-EZ for POTOMAC HIGHLANDS AUTISM SUPPORT NETWORK INC
| Field | Data |
|---|---|
| EIN | 84-3762963 |
| Case Number | EO-2020052-000156 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | POTOMAC HIGHLANDS AUTISM SUPPORT NETWORK INC |
| Organization’s Mailing Address | PO BOX 1054 |
| City | PETERSBURG |
| State | WV |
| ZIP | 26847 |
| Accounting period End | 6 |
| Primary contact name | LEIGH SAVILLE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LEIGH SAVILLE
PRESIDENT
86 SAULLIE EVANS DRIVE
PETERSBURG WV 26847
Officer/Director/Trustee Two
KAREN FISHER
TREASURER
1981 SOUTH MILL CREEK ROAD
PETERSBURG WV 26847
Officer/Director/Trustee Three
SOLVEIG GRUBER
SECRETARY
1840 SOUTH FORK LITTLE CACAPON ROAD
AUGUSTA WV 26704
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/4/2020 |
| Organization Incorporation State | WV |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G84 - Autism |
| Organization’s purpose | Charitable: Yes 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 | Yes |
| 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 | LEIGH SAVILLE |
| Signature Title | PRESIDENT |
| Signature Date | 2/19/2020 |
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