FORM 1023-EZ for RUSSELL O BRACKMAN PTA

Field Data
EIN 22-3685920
Case Number EO-2021259-000389
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RUSSELL O BRACKMAN PTA
Organization’s Mailing Address 600 BARNEGAT BLVD N
City BARNEGAT
State NJ
ZIP 08005
Accounting period End 6
Primary contact name KIM WHEELER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIM WHEELER
PRESIDENT
20 WILLIAMS ST
BARNEGAT NJ 08005-1216

Officer/Director/Trustee Two

COLLEEN SHIVE
VICE PRESIDENT
1300 WEST BAY AVE
BARNEGAT NJ 08005-1216

Officer/Director/Trustee Three

CRYSTAL BRINSON
TREASURER
19 POWDERHORN DRIVE
BARNEGAT NJ 08005-1216

Officer/Director/Trustee Four

CASEY JASTRZEBSKI
SECRETARY
10 TENTH STREET
BARNEGAT NJ 08005-1216

Organization’s website
Organization’s email BRACKMANPTA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2001
Organization Incorporation State NJ
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KIM WHEELER
Signature Title PRESIDENT
Signature Date 9/14/2021

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