FORM 1023-EZ for BLUE RIDGE ELEMENTARY PTO

Field Data
EIN 82-2226681
Case Number EO-2019303-000473
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE RIDGE ELEMENTARY PTO
Organization’s Mailing Address 5150 SCHOOL RD
City NEW MILFORD
State PA
ZIP 18834
Accounting period End 6
Primary contact name TRACY WHITEHEAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACY WHITEHEAD
PRESIDENT
5150 SCHOOL RD
NEW MILFORD PA 18834

Officer/Director/Trustee Two

COURTNEY HERBERT
VICE PRESIDENT
5150 SCHOOL RD
NEW MILFORD PA 18834

Officer/Director/Trustee Three

DAYLE WEBER
SECRETARY
5150 SCHOOL RD
NEW MILFORD PA 18834

Officer/Director/Trustee Four

LORRAINE TINGLEY
TREASURER
5150 SCHOOL RD
NEW MILFORD PA 18834

Officer/Director/Trustee Five

JESSICA BOYKO
SERETARY
5150 SCHOOL RD
NEW MILFORD PA 18834

Organization’s website
Organization’s email WHITEHEADTR@BRSD.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/18
Organization Incorporation State PA
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 Yes
Correctness Declaration Yes
Signature Name TRACY WHITEHEAD
Signature Title PRESIDENT
Signature Date 10/28/19

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