FORM 1023-EZ for BEAUMONT PARENT TEACHER NETWORK - BPTN

Field Data
EIN 47-4661844
Case Number EO-2015251-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEAUMONT PARENT TEACHER NETWORK - BPTN
Organization’s Mailing Address 1505 GATEWOOD STREET
City GREEN BAY
State WI
ZIP 54304-3375
Accounting period End 6
Primary contact name NICOLE BURBAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NICOLE BURBAN
TREASURER
1712 13TH AVE
GREEN BAY WI 54304

Officer/Director/Trustee Two

SHEILA WALLACE
PRESIDENT
1444 11TH AVE
GREEN BAY WI 54304

Officer/Director/Trustee Three

STACY NESS
VICE PRESIDENT
1802 CARROLL AVE
GREEN BAY WI 54304

Officer/Director/Trustee Four

JESSE PEER
SECRETARY
1119 12TH AVE
GREEN BAY WI 54304

Officer/Director/Trustee Five

EMILY PANSIER
TEACHER REPRESENTATIVE
2901 SORENSON DRIVE
GREEN BAY WI 54313

Organization’s website N/A
Organization’s email BPTN_GB@OUTLOOK.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2015
Organization Incorporation State WI
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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