FORM 1023-EZ for ADDAVILLE ELEMENTARY P T O

Field Data
EIN 46-3550570
Case Number EO-2015128-000483
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ADDAVILLE ELEMENTARY P T O
Organization’s Mailing Address 1333 BRICK SCHOOL RD
City GALLIPOLIS
State OH
ZIP 45631
Accounting period End 12
Primary contact name JESSICA STANLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JESSICA STANLEY
TREASURER
267 HONEYSUCKLE DR
CHESHIRE OH 45620

Officer/Director/Trustee Two

ERICA HERSMAN
PRESIDENT
267 HONEYSUCKLE DR
CHESHIRE OH 45620

Officer/Director/Trustee Three

MELINDA BAKER
V PRESIDENT
925 TURKEY RUN RD
CHESHIRE OH 45620

Officer/Director/Trustee Four

ALLISON MARTIN
SECRETARY
267 HONEYSUCKLE DR
CHESHIRE OH 45620

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2013
Organization Incorporation State OH
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: No
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 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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