FORM 1023-EZ for BLAIR PTO INC

Field Data
EIN 84-3271638
Case Number EO-2020069-000668
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLAIR PTO INC
Organization’s Mailing Address 1625 SAWYER RD
City TRAVERSE CITY
State MI
ZIP 49685
Accounting period End 12
Primary contact name MELISSA DEAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORY DEAN JR
PRESIDENT
5925 OLD MAPLE TRL
GRAWN MI 49637

Officer/Director/Trustee Two

MELISSA DEAN
VICE PRESIDENT TREASURER
5925 OLD MAPLE TRL
GRAWN MI 49637

Organization’s website
Organization’s email BLAIRELEMENTARYPTO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2019
Organization Incorporation State MI
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 MELISSA DEAN
Signature Title VICE PRESIDENT TREASURER
Signature Date 3/7/2020

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