FORM 1023-EZ for DEER VALLEY HIGH SCHOOL PARENT TEACHER STUDENT ORGANIZATION

Field Data
EIN 85-1520639
Case Number EO-2020188-000593
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEER VALLEY HIGH SCHOOL PARENT TEACHER STUDENT ORGANIZATION
Organization’s Mailing Address 4700 LONE TREE BLVD
City ANTIOCH
State CA
ZIP 94531
Accounting period End 6
Primary contact name SANDY ROGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDY ROGERS
PRESIDENT
4700
ANTIOCH CA 94531

Officer/Director/Trustee Two

COURTNEY REICH
VICE PRESIDENT
4700 LONE TREE BLVD
ANTIOCH CA 94531

Officer/Director/Trustee Three

TINA SHAIKH
TREASURER
4700 LONE TREE BLVD
ANTIOCH CA 94531

Officer/Director/Trustee Four

TAMERA DASTE
AUDITOR
4700 LONE TREE BLVD
ANTIOCH CA 94531

Officer/Director/Trustee Five

CELESTINA PEREZ
SECRETARY
4700 LONE TREE BLVD
ANTIOCH CA 94531

Organization’s website
Organization’s email DEERVALLEYPTSA@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
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 SANDY ROGERS
Signature Title PRESIDENT
Signature Date 7/2/2020

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