FORM 1023-EZ for KNOX COUNTY PTO

Field Data
EIN 47-3987103
Case Number EO-2015135-000133
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KNOX COUNTY PTO
Organization’s Mailing Address 104 S MAIN ST
City EDINA
State MO
ZIP 63537
Accounting period End 12
Primary contact name BOBBI CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KARIE JO HOLMAN
PRESIDENT
62498 GREENLEY PL
NOVELTY MO 63460

Officer/Director/Trustee Two

KIMBERLY JANSEN
VICE PRESIDENT
46081 FIVE POINTS AVE
RUTLEDGE

Officer/Director/Trustee Three

BETSY PARRISH
SECRETARY
60056 BUTTERMILK AVE
KNOX CITY MO 63446

Officer/Director/Trustee Four

BOBBI CLARK
TREASURER
104 S MAIN ST
EDINA MO 63537

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/2015
Organization Incorporation State MO
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: No
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 Yes
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
Signature Title
Signature Date

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