FORM 1023-EZ for MICA MOUNTAIN PTO

Field Data
EIN 85-0680206
Case Number EO-2020209-000519
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MICA MOUNTAIN PTO
Organization’s Mailing Address 10800 E VALENCIA RD
City TUCSON
State AZ
ZIP 85747-9772
Accounting period End 6
Primary contact name MICHELLE WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE WHITE
DIRECTOR AND PRESIDENT
2004 E IRVINGTON RD PMB 215
TUCSON AZ 85714-1809

Officer/Director/Trustee Two

AMANDA JENSEN
TREASURER
8405 S CAMINO BENGALA
TUCSON AZ 85747-5164

Officer/Director/Trustee Three

HEATHER BERSBACH
VICE PRESIDENT
8163 S CAMINO SERPE
TUCSON AZ 85747-9029

Officer/Director/Trustee Four

JENNIFER DIXON
SECRETARY
6368 S MAYWOOD DR
TUCSON AZ 85747-5978

Officer/Director/Trustee Five

NEMER HASSEY
PRINCIPAL
10800 E VALENCIA RD
TUCSON AZ 85747-9772

Organization’s website
Organization’s email MMHSPTO@VAILSCHOOLDISTRICT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2020
Organization Incorporation State AZ
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: 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 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 Yes
Signature Name MICHELLE WHITE
Signature Title DIRECTOR AND PRESIDENT
Signature Date 7/20/2020

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