FORM 1023-EZ for BLUE LICK ELEMENTARY PTA PARENT TEACHER ASSOCIATION

Field Data
EIN 61-1152774
Case Number EO-2015085-000611
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUE LICK ELEMENTARY PTA PARENT TEACHER ASSOCIATION
Organization’s Mailing Address 9801 BLUE LICK ROAD
City LOUISVILLE
State KY
ZIP 40229-1841
Accounting period End 6
Primary contact name ERIN LUSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARIAN VASSER
PRESIDENT
4413 KURTZ AVENUE
LOUISVILLE KY 40229-1143

Officer/Director/Trustee Two

ERIN LUSH
TREASURER
10504 AUTUMN CREEK PLACE
LOUISVILLE KY 40229-2627

Officer/Director/Trustee Three

BRANDY BURKHEAD
VICE PRESIDENT OF PROGRAMS
9814 AGENA DRIVE
LOUISVILLE KY 40229-1802

Officer/Director/Trustee Four

CANDACE GARRETT
VICE PRESIDENT OF FUNDRAISING
14907 GALSTON BOULEVARD
LOUISVILLE KY 40272-1375

Officer/Director/Trustee Five

AMY EMERSON
SECRETARY
9719 CAVEN AVENUE
LOUISVILLE KY 40229-1126

Organization’s website
Organization’s email ERIN.LUSH@GSA.GOV
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2008
Organization Incorporation State KY
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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