FORM 1023-EZ for LONG HILL SCHOOL PARENT TEACHER ORGANIZATION

Field Data
EIN 47-4552600
Case Number EO-2015247-000071
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LONG HILL SCHOOL PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 565 LONG HILL AVENUE
City SHELTON
State CT
ZIP 06484
Accounting period End 12
Primary contact name SARAH BERGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SARAH BERGERS
PRESIDENT
12 LAUREL WOOD DRIVE
SHELTON CT 06484

Officer/Director/Trustee Two

KATHLEEN COLLIGAN
CO-VICE PRESIDENT
126 COUNTRY PLACE
SHELTON CT 06484

Officer/Director/Trustee Three

JACQUELINE DUBOIS
CO-VICE PRESIDENT
28 TOTEM TRAIL
SHELTON CT 06484

Officer/Director/Trustee Four

JENNIFER SANBORN
TREASURER
8 STEEP BROOK LANE
SHELTON CT 06484

Officer/Director/Trustee Five

BETH BOIVIN
SECRETARY
53 SHINNACOCK TRAIL
SHELTON CT 06484

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2015
Organization Incorporation State CT
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: 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
Signature Title
Signature Date

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