FORM 1023-EZ for NICOLLET PUBLIC SCHOOL PARENT TEACHER ORGANIZATION

Field Data
EIN 47-4938169
Case Number EO-2016041-000324
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NICOLLET PUBLIC SCHOOL PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 1 PINE STREET
City NICOLLET
State MN
ZIP 56074-2075
Accounting period End 12
Primary contact name AMY WILLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JILL MARTENS
PRESIDENT
42874 STATE HWY 99
NICOLLET MN 56074-2075

Officer/Director/Trustee Two

AMY WILLS
VICE PRESIDENT/FUNDRAISING COORDINA
48402 435TH AVE
NORTH MANKATO MN 56003-4115

Officer/Director/Trustee Three

CRISTY MACIAS
TREASURER
120 N PARK
LAKE CRYSTAL MN 56055-2263

Officer/Director/Trustee Four

CRYSTAL DOMIER
SECRETARY
418 MAIN STREET
COURTLAN MN 56021-2010

Organization’s website
Organization’s email NICOLLETPTO@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2015
Organization Incorporation State MN
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 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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