FORM 1023-EZ for SMITHVILLE HORIZON PTO

Field Data
EIN 84-2421876
Case Number EO-2019219-000272
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SMITHVILLE HORIZON PTO
Organization’s Mailing Address 695 S COMMERICAL AVE
City SMITHVILLE
State MO
ZIP 64089
Accounting period End 7
Primary contact name JENNIFER JUSTUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER LANGSTON-JUSTUS
PRESIDENT
13317 MOUNT OLIVET RD
SMITHVILLE MO 64089

Officer/Director/Trustee Two

SHELLY SCHURMAN
TREASURER
3611 NE 132ND
SMITHVILLE MO 64089

Officer/Director/Trustee Three

MELISSA LALLO JOHNSON
VICE PRESIDENT
14010 SUPREME CT
SMITHVILLE MO 64089

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/19
Organization Incorporation State ME
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 JENNIFER LANGSTON-JUSTUS
Signature Title PRESIDENT
Signature Date 8/5/19

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