FORM 1023-EZ for CARDINAL RIDGE PTO

Field Data
EIN 46-5355003
Case Number EO-2014274-000190
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARDINAL RIDGE PTO
Organization’s Mailing Address 26155 BULL RUN POST OFFICE RD
City CENTREVILLE
State VA
ZIP 20120
Accounting period End 12
Primary contact name BETH ROBERTSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HARSH GOVIND
PRESIDENT
26155 BULL RUN POST OFFICE ROA
CENTREVILLE VA 20120

Officer/Director/Trustee Two

AMY RIVIELLO
TREASURER
26155 BULL RUN POST OFFICE RD
CENTREVILLE VA 20120

Officer/Director/Trustee Three

ELIZABETH FRANKLIN
VICE PRESIDENT
26155 BULL RUN POST OFFICE RD
CENTREVILLE VA 20120

Officer/Director/Trustee Four

SUZANNE BURCH
CO-SECRETARY
26155 BULL RUN POST OFFICE RD
CENTREVILLE VA 20120

Officer/Director/Trustee Five

BETH ROBERTSON
CO-SECRETARY
26155 BULL RUN POST OFFICE RD
CENTREVILLE VA 20120

Organization’s website WWW.LCPS.ORG/CRE
Organization’s email CARDINALRIDGEPTO@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 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
Signature Title
Signature Date

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