FORM 1023-EZ for MIDDLEBURG COMMUNITY CHARTER SCHOOLPTO

Field Data
EIN 47-1349316
Case Number EO-2014220-000134
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIDDLEBURG COMMUNITY CHARTER SCHOOLPTO
Organization’s Mailing Address 101 N MADISON STREET
City MIDDLEBURG
State VA
ZIP 20117
Accounting period End 7
Primary contact name KELLY DILLON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KELLY DILLON
PTO PRESIDENT (INTERIM)
41759 ASHMEADOW CT
ASHBURN VA 20148

Officer/Director/Trustee Two

DAVID QUANBECK
TREASURER (INTERIM)
37517 QUANBECK LANE
MIDDLEBURG VA 20117

Organization’s website HTTP://CMSWEB2.LOUDOUN.K12.VA.US/DOMAIN/16152
Organization’s email MIDDLEBURGPTO@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2014
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 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
Signature Title
Signature Date

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