FORM 1023-EZ for LAKEVILLE ELEMENTARY PTO

Field Data
EIN 81-3910599
Case Number EO-2016267-000157
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKEVILLE ELEMENTARY PTO
Organization’s Mailing Address 14059 STATE ROUTE 226
City LAKEVILLE
State OH
ZIP 44638
Accounting period End 12
Primary contact name JENNIFER MOSHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER MOSHER
PRESIDENT
10388 SNODDY ROAD
LAKEVILLE OH 44638

Officer/Director/Trustee Two

COURTNEY COOPER
VICE PRESIDENT
11775 TWP RD 517
SHREVE OH 44676

Officer/Director/Trustee Three

VIRGINIA PRINGLE
TREASURER
12482 CO RD 316
BIG PRAIRIE OH 44654

Officer/Director/Trustee Four

ANGELA JACKSON
SECRETARY
50 CO RD 2576
LAKEVILLE OH 44638

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/1997
Organization Incorporation State OH
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 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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