FORM 1023-EZ for KELSEYVILLE ELEMENTARY PTO

Field Data
EIN 82-2852153
Case Number EO-2017265-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KELSEYVILLE ELEMENTARY PTO
Organization’s Mailing Address 5065 KONOCTI RD
City KELSEYVILLE
State CA
ZIP 95451
Accounting period End 6
Primary contact name DESIREE PEREZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DESIREE PEREZ
PRESIDENT
5840 PLUNKETT LN
KELSEYVILLE CA 95451

Officer/Director/Trustee Two

BONNA PRESTON
VICE PRESIDENT
5095 WENDY LN
KELSEYVILLE CA 95451

Officer/Director/Trustee Three

JOELLE LUTHER-MOORE
TREASURER
4845 KONOCTI RD
KELSEYVILLE CA 95451

Officer/Director/Trustee Four

JESSICA COOK
SECRETARY
7295 EVERGREEN DR
KELSEYVILLE CA 95451

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2017
Organization Incorporation State CA
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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