FORM 1023-EZ for VERMONT PASSIVE HOUSE INCORPORATED

Field Data
EIN 81-2562819
Case Number EO-2019063-000122
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VERMONT PASSIVE HOUSE INCORPORATED
Organization’s Mailing Address 1526 LOWER ROAD
City PLAINFIELD
State VT
ZIP 5667
Accounting period End 12
Primary contact name CHRIS MIKSIC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER MIKSIC
PRESIDENT
1526 LOWER ROAD
PLAINFIELD VT 5667

Officer/Director/Trustee Two

KAREN BUSHEY
SECRATARY
30 PROSPECT PARKWAY
BURLINTON VT 5401

Officer/Director/Trustee Three

CHRISTOPHER WEST
VICE PRESIDENT
71 HANLEY LANE
JERICHO VT 5465

Officer/Director/Trustee Four

PAUL SIPPLE
BOARD MEMBER
PO BOX 418
WAITSFIELD VT 5673

Officer/Director/Trustee Five

ENRIQUE BUENO
BOARD MEMBER
PO BOX 648
MONTPELIER VT 5601

Organization’s website VTPH.ORG
Organization’s email CHRISMIKSIC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/16
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 CHRISTOPHER MIKSIC
Signature Title PRESIDENT
Signature Date 2/28/19

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