FORM 1023-EZ for ADAMS CENTRAL ELEMENTARY PTO

Field Data
EIN 82-2206712
Case Number EO-2019059-000296
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADAMS CENTRAL ELEMENTARY PTO
Organization’s Mailing Address 2706 N BALTIMORE AVE
City HASTINGS
State NE
ZIP 68901
Accounting period End 5
Primary contact name LISA DIECKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDSAY DOOLEY
CO-PRESIDENT
635 W IDLEWILDE RD
HASTINGS NE 68901

Officer/Director/Trustee Two

TAMAKA GANGWISH
CO-PRESIDENT
711 N ADAMS
JUNIATA NE 68955

Officer/Director/Trustee Three

LISA DIECKER
CO-TREASURER
2706 N BALTIMORE AVE
HASTINGS NE 68901

Officer/Director/Trustee Four

BOBBI BUCHHOLZ
CO-TREASURER
1514 WESTBROOK DR
JUNIATA NE 68955

Officer/Director/Trustee Five

ANGELA HEWITT
SECRETARY
10260 W 70TH AVE
JUNIATA NE 68955

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/17
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 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 LISA DIECKER
Signature Title CO-TREASURER
Signature Date 2/26/19

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