FORM 1023-EZ for GLACIER CREEK PTO

Field Data
EIN 81-5383574
Case Number EO-2020079-000164
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GLACIER CREEK PTO
Organization’s Mailing Address 2800 N MILITARY ROAD
City CROSS PLAINS
State WI
ZIP 53528
Accounting period End 6
Primary contact name KRISTEN JAFFERIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRA MORRIS
PRESIDENT
200 ZIEGLER LANE
CROSS PLAINS WI 53528

Officer/Director/Trustee Two

KATHRYN JOHNSON
SECRETARY
7271 LEGACY DRIVE
MIDDLETON WI 53562

Officer/Director/Trustee Three

KRISTEN JAFFERIS
CO-TREASURER
4738 DELMARA ROAD
MIDDLETON WI 53562

Officer/Director/Trustee Four

KENDRA CLEARY
CO-TREASURER
7455 OAK CIRCLE DRIVE
MIDDLETON WI 53562

Organization’s website HTTPS://SITES.GOOGLE.COM/VIEW/GLACIERCREEKMIDDLESCHOOLPTO/HOME
Organization’s email GLACIERCREEKPTO@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2017
Organization Incorporation State WI
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KRISTEN JAFFERIS
Signature Title CO-TREASURER
Signature Date 3/17/2020
EIN 81-5383574
Case Number EO-2017160-000165
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GLACIER CREEK PARENT TEACHER ORGANIZATION INC
Organization’s Mailing Address 2800 MILITARY RD
City CROSS PLAINS
State WI
ZIP 53528
Accounting period End 6
Primary contact name ANNAMARIE SHANAHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TINA EDER
PRESIDENT
2800 MILITARY RD
CROSS PLAINS WI 53528

Officer/Director/Trustee Two

M KATHY PETERSON
TREASURER
2800 MILITARY RD
CROSS PLAINS WI 53528

Officer/Director/Trustee Three

TERRA MORRIS
VICE PRESIDENT
2800 MILITARY RD
CROSS PLAINS WI 53528

Officer/Director/Trustee Four

KELLY KALSCHEUR
SECRETARY
2800 MILITARY RD
CROSS PLAINS WI 53528

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/2017
Organization Incorporation State WI
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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