FORM 1023-EZ for SARAH JOSLYN PTO

Field Data
EIN 83-0493006
Case Number EO-2015217-000178
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SARAH JOSLYN PTO
Organization’s Mailing Address 11220 BLONDO STREET
City OMAHA
State NE
ZIP 68164
Accounting period End 9
Primary contact name CHARLES BAUER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANIELLE HAIN
PRESIDENT
1735 N 110 AVE
OMAHA NE 68154

Officer/Director/Trustee Two

REBECCA HOSS
VICE PRESIDENT
12911 CADY AVE
OMAHA NE 68164

Officer/Director/Trustee Three

CHARLES BAUER
TREASURER
11247 CORBY ST
OMAHA NE 68164

Officer/Director/Trustee Four

ELIZABETH CAVANAUGH
SECRETARY
12406 BINNEY STREET
OMAHA NE 68164

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2007
Organization Incorporation State NE
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 Yes
One Third Support Gifts No
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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