FORM 1023-EZ for CMIT NORTH MIDDLE SCHOOL PTO

Field Data
EIN 87-0891552
Case Number EO-2021242-000262
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CMIT NORTH MIDDLE SCHOOL PTO
Organization’s Mailing Address 6100 FROST PLACE
City LAUREL
State MD
ZIP 20707
Accounting period End 6
Primary contact name ADRIANE CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWNIQUE OTTLEY
PRESIDENT
11720 TUSCANY DRIVE
LAUREL MD 20708

Officer/Director/Trustee Two

LATISHE BOYD
VICE PRESIDENT
6017 KANO STREET
CAPITOLHEIGHTS MD 20743

Officer/Director/Trustee Three

KHADIJA BOWEN
CORRESPONDENCE SECRETARY
14212 MEDWICK RD
UPPER MARLBORO MD 20774

Officer/Director/Trustee Four

MOSINA WRIGHT
RECORDING SECRETARY
8512 CORY DRIVE
BOWIE MD 20720

Officer/Director/Trustee Five

ADRIANE CLARK
TREASURER
6512 INSEY STREET
DISTRICT HEIGHTS MD 20747

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/2021
Organization Incorporation State MD
Contains Limitation No
Does not expressly empower No
Contains dissolution No
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration No
Signature Name ADRIANE CLARK
Signature Title TREASURER
Signature Date 8/26/2021

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