FORM 1023-EZ for SHERIDAN JAPANESE SCHOOL PARENT TEACHER ORGANIZATION

Field Data
EIN 87-2202337
Case Number EO-2021256-000705
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHERIDAN JAPANESE SCHOOL PARENT TEACHER ORGANIZATION
Organization’s Mailing Address PO BOX 84
City SHERIDAN
State OR
ZIP 97378-1947
Accounting period End 6
Primary contact name HEATHER RUSSO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TODD DIMMIT
PRESIDENT
26500 SW WILEY RD
SHERIDAN OR 97378

Officer/Director/Trustee Two

HEATHER RUSSO
TREASURER
1132 SW EMMA DR
MCMINNVILLE OR 97128

Officer/Director/Trustee Three

DIANNA FERRELL
VICE PRESIDENT
30710 SALMON RIVER HWY
GRAND RONDE OR 97347

Officer/Director/Trustee Four

JANELLE JUSTEN
SECRETARY
PO BOX 266
GRAND RONDE OR 97347-0266

Officer/Director/Trustee Five

DANIEL DOSSEY
MEMBER AT LARGE
242 SW RAILROAD ST
SHERIDAN OR 97378

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents No
Organization Incorporation Date 8/26/2021
Organization Incorporation State OR
Contains Limitation No
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 Yes
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 No
Signature Name JANELLE JUSTEN
Signature Title SECRETARY
Signature Date 9/11/2021

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