FORM 1023-EZ for KLAHOWYA JUNIOR SENIOR PTA 1 3 45

Field Data
EIN 91-1811123
Case Number EO-2015153-000010
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KLAHOWYA JUNIOR SENIOR PTA 1 3 45
Organization’s Mailing Address PO BOX 8
City SILVERDALE
State WA
ZIP 98383
Accounting period End 6
Primary contact name BETSY HYTINEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BETSY HYTINEN
PRESIDENT
3444 WILD RIDGE LN NW
BREMERTON WA 98312

Officer/Director/Trustee Two

PAM PYLE
VICE PRESIDENT
3436 WARREN RD
SILVERDALE WA 98383

Officer/Director/Trustee Three

PENNY SAGESER
TREASURER
10253 MISERY POINT RD
SEABECK WA 98380

Officer/Director/Trustee Four

MICHELLE WILLIAMSON
SECRETARY
4748 SEABECK HOLLY RD
SEABECK WA 98380

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/2001
Organization Incorporation State WA
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: 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 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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