FORM 1023-EZ for PSP AND CSB FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-0826982 |
| Case Number | EO-2018164-000090 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PSP AND CSB FOUNDATION |
| Organization’s Mailing Address | 7961 FALLING CREEK ROAD |
| City | BEDFORD |
| State | VA |
| ZIP | 24523 |
| Accounting period End | 12 |
| Primary contact name | DAYNA HLINKO |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
AMY CLATTERBOUGH
DIRECTOR
1307 WEST PINE RIDGE RD
HUDDLESTON VA 24104
Officer/Director/Trustee Two
DEBRA CHIULLI
DIRECTOR
7961 FALLING CREEK ROAD
BEDFORD VA 24523
Officer/Director/Trustee Three
JOHN BATTON
DIRECTOR
119 OLD BROOK ROAD
VINTON VA 24179
Officer/Director/Trustee Four
DAYNA HLINKO
DIRECTOR
2908 BENDING OAK DRIVE
HAMPTON VA 23666
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/24/18 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No 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 | DAYNA HLINKO |
| Signature Title | DIRECTOR |
| Signature Date | 6/11/18 |
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