FORM 1023-EZ for BULLOCK CREEK PINE RIVER PTO

Field Data
EIN 26-1840401
Case Number EO-2016098-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BULLOCK CREEK PINE RIVER PTO
Organization’s Mailing Address 1037 S POSEYVILLE RD
City MIDLAND
State MI
ZIP 48640-8922
Accounting period End 6
Primary contact name MELISSA A CZOLGOSZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MELISSA CZOLGOSZ
PRESIDENT
1037 S POSEYVILLE
MIDLAND MI 48640-8922

Officer/Director/Trustee Two

KERRY BEBEAU
TREASURER
1037 S POSEYVILLE
MIDLAND MI 48640-8922

Officer/Director/Trustee Three

SHANNON WHYTE
VP OF FUNDRAISING
1037 S POSEYVILLE
MIDLAND MI 48640-8922

Officer/Director/Trustee Four

SHARI FRANKLAND
VP OF EVENTS
1037 S POSEYVILLE
MIDLAND MI 48640-8922

Officer/Director/Trustee Five

TRACI WELLS
SECRETARY
1037 S POSEYVILLE
MIDLAND MI 48640-8922

Organization’s website
Organization’s email BCPRPTO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2008
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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