FORM 1023-EZ for WA INTERMEDIATE CENTER PTO

Field Data
EIN 84-2347201
Case Number EO-2019217-000172
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WA INTERMEDIATE CENTER PTO
Organization’s Mailing Address 100 MONTGOMERY AVENUE
City WEST PITTSTON
State PA
ZIP 18643
Accounting period End 6
Primary contact name GABRIELLE FURNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMANTHA VACULA
PRESIDENT
36 PENN AVENUE
EXETER PA 18643

Officer/Director/Trustee Two

KRYSTAN ERWINE
VICE PRESIDENT
377 MONUMENT AVENUE
WYOMING PA 18644

Officer/Director/Trustee Three

DAWN PIERCE
SECRETARY
448 W 3RD STREET
WYOMING PA 18644

Officer/Director/Trustee Four

GABRIELLE FURNER
TREASURER
43 2ND STREET
WYOMING PA 18644

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/19
Organization Incorporation State PA
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 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 GABRIELLE FURNER
Signature Title TREASURER
Signature Date 8/1/19

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