FORM 1023-EZ for ORLA PTA 4 5 1

Field Data
EIN 46-3872466
Case Number EO-2014322-000106
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ORLA PTA 4 5 1
Organization’s Mailing Address 1304 S FAWCETT AVENUE SUITE 300
City TACOMA
State WA
ZIP 98402-1901
Accounting period End 6
Primary contact name MARY MCGREEVY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIM JOHNSON
PRESIDENT
9442 MARLBROOK LOOP SE
OLYMPIA WA 98513-6853

Officer/Director/Trustee Two

CINDY TITTERINGTON
VICE PRESIDENT MONTESSORI
2038 33RD AVENUE NE
OLYMPIA WA 98506-2836

Officer/Director/Trustee Three

WILLIAM MANKER
VICE PRESIDENT HCONNECT
3005 76TH AVENUE NE
OLYMPIA WA 98506-9606

Officer/Director/Trustee Four

MARY MCGREEVY
TREASURER
7501 JOHNSON ROAD SE
OLYMPIA WA 98513-9024

Officer/Director/Trustee Five

ERIN GAYTON
SECRETARY
2525 WALNUT LOOP NW
OLYMPIA WA 98502-4415

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2013
Organization Incorporation State WA
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 Yes
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 Yes
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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