FORM 1023-EZ for PETERSON ELEMENTARY PTO

Field Data
EIN 83-2051768
Case Number EO-2019284-000348
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PETERSON ELEMENTARY PTO
Organization’s Mailing Address 4856 CLINTON AVE
City KLAMATH FALLS
State OR
ZIP 97603
Accounting period End 6
Primary contact name JAIME ZAKOUR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WHITNEY WILSON
CO-PRESIDENT
4856 CLINTON AVE
KLAMATH FALLS OR 97603

Officer/Director/Trustee Two

KRYSTAL MCDANIEL
CO-PRESIDENT
4856 CLINTON AVE
KLAMATH FALLS OR 97603

Officer/Director/Trustee Three

AMBER BACHMAN
SECRETARY
4856 CLINTON AVE
KLAMATH FALLS OR 97603

Officer/Director/Trustee Four

JAIME ZAKOUR
TREASURER
4856 CLINTON AVE
KLAMATH FALLS OR 97603

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/19
Organization Incorporation State OR
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 Yes
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 JAIME ZAKOUR
Signature Title TREASURER
Signature Date 10/8/19

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