FORM 1023-EZ for FIRCREST PTA

Field Data
EIN 91-1452993
Case Number EO-2016312-000572
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FIRCREST PTA
Organization’s Mailing Address 12001 NE 9TH ST
City VANCOUVER
State WA
ZIP 98684
Accounting period End 6
Primary contact name JACK DIANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACK DIANO
TREASURER
12001 NE 9TH ST
VANCOUVER WA 98684

Officer/Director/Trustee Two

DANA HERBOTH
PRESIDENT
12001 NE 9TH ST
VANCOUVER WA 98684

Officer/Director/Trustee Three

SARAH JENNIGES
VICE PRESIDENT
12001 NE 9TH ST
VANCOUVER WA 98684

Officer/Director/Trustee Four

COURTNEY GIBBS
SECRETARY
12001 NE 9TH ST
VANCOUVER WA 98684

Officer/Director/Trustee Five

MELINDA SUMMERFELD
FUNDRAISING COORDINATOR
12001 NE 9TH ST
VANCOUVER WA 98684

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2010
Organization Incorporation State WA
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
Signature Title
Signature Date

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