FORM 1023-EZ for JACKSON ROOSEVELT PTO

Field Data
EIN 83-2159798
Case Number EO-2018291-000073
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSON ROOSEVELT PTO
Organization’s Mailing Address 1512 JACKSON STREET
City PORT LAVACA
State TX
ZIP 77979
Accounting period End 10
Primary contact name LACEY C HOOVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LACEY CROBER
TREASURER
711 WASHINGTON AVE
PORT LAVACA TX 77979

Officer/Director/Trustee Two

JACQULIN GRISSOM
PRESIDENT
210 HENDERSON
POINT COMFORT TX 77978

Officer/Director/Trustee Three

ALICIA LAMAS
VICE PRESIDENT
1403 ALGEE ST
PORT LAVACA TX 77979

Officer/Director/Trustee Four

AIMEE PENA
SECRETARY
2108 ALGEE ST
PORT LAVACA TX 77979

Organization’s website
Organization’s email JACKSONRPTO@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LACEY CROBER
Signature Title TREASURER
Signature Date 10/16/18

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