FORM 1023-EZ for FORTUNA ELEMENTARY PARENT TEACHER ORGANIZATION

Field Data
EIN 81-4179924
Case Number EO-2016323-000328
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FORTUNA ELEMENTARY PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 2089 NEWBURG ROAD
City FORTUNA
State CA
ZIP 95540-2706
Accounting period End 6
Primary contact name AMBER BUTLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM GRIMMETT
DIRECTOR
1535 LEXI LANE
EUREKA CA 95503-7952

Officer/Director/Trustee Two

VINCE ZINSELMEIR
DIRECTOR
1981 ELMWOOD PLACE
MCKINLEYVILLE CA 95519-7138

Officer/Director/Trustee Three

LISA COOK
PRESIDENT
574 SENESTRARO WAY
FORTUNA CA 95540-2912

Officer/Director/Trustee Four

SHELLY STANDLEY
VICE PRESIDENT
2115 EVERDING STREET
EUREKA CA 95503-5606

Officer/Director/Trustee Five

AMBER BUTLER
TREASURER
2397 S 2ND AVENUE
FORTUNA CA 95540-2897

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2016
Organization Incorporation State CA
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: 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
Signature Title
Signature Date

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