FORM 1023-EZ for DODSON ELEMENTARY PTO

Field Data
EIN 58-1862013
Case Number EO-2016051-000013
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DODSON ELEMENTARY PTO
Organization’s Mailing Address 4401 CHANDLER ROAD
City HERMITAGE
State TN
ZIP 37076
Accounting period End 7
Primary contact name KELLY VONGVIENGKHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIM HARRIS
PRESIDENT
5806 AVALON COURT
HERMITAGE TN 37076

Officer/Director/Trustee Two

KELLY VONGVIENGKHAM
VICE PRESIDENT
2331 WILLESDEN COURT
HERMITAGE TN 37076

Officer/Director/Trustee Three

KERRY FLEMING
SECRETARY
4281 CHESNEY GLEN DRIVE
HERMITAGE TN 37076

Officer/Director/Trustee Four

EMILY HARRIS
TREASURER
1936 DUNEDIN DRIVE
OLD HICKORY TN 37138

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/2001
Organization Incorporation State TN
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: No
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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