FORM 1023-EZ for INTERNATIONAL ACADEMY OKMA PARENT TEACHER ORGANIZATION

Field Data
EIN 83-1210820
Case Number EO-2018201-000146
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTERNATIONAL ACADEMY OKMA PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 1020 EAST SQUARE LAKE ROAD
City BLOOMFIELD HILLS
State MI
ZIP 48304
Accounting period End 6
Primary contact name DAWN JENSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN TANG
PRESIDENT
5215 BROOKDALE
BLOOMFIELD HILLS MI 48304

Officer/Director/Trustee Two

PIYUSH SHUKLA
VICE-PRESIDENT
3380 TALBERT CIRCLE
ROCHESTER HILLS MI 48307

Officer/Director/Trustee Three

SAMANTHA PHILLIPS
VICE-PRESIDENT
3545 STRATHCONA DRIVE
ROCHESTER HILLS MI 48309

Officer/Director/Trustee Four

MARY THOMPSON
SECRETARY
6611 PINE WAY DRIVE
TROY MI 48098

Officer/Director/Trustee Five

DAWN JENSEN
TREASURER
2710 BINBROOKE DRIVE
TROY MI 48084

Organization’s website
Organization’s email PTIAOKMA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/18
Organization Incorporation State MI
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 DAWN JENSEN
Signature Title TREASURER
Signature Date 7/18/18

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