FORM 1023-EZ for SOUTHSIDE PTO

Field Data
EIN 20-5823103
Case Number EO-2015041-000201
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHSIDE PTO
Organization’s Mailing Address 728 GINKGO DRIVE
City SHELBYVILLE
State KY
ZIP 40065
Accounting period End 12
Primary contact name ELIZABETH BUTTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AMANDA GEHRING
PRESIDENT
728 GINKGO DRIVE
SHELBYVILLE KY 40065

Officer/Director/Trustee Two

BRITT EMBRY
VICE-PRESIDENT
728 GINKGO DRIVE
SHELBYVILLE KY 40065

Officer/Director/Trustee Three

ELIZABETH BUTTON
TREASURER
728 GINKGO DRIVE
SHELBYVILLE KY 40065

Officer/Director/Trustee Four

JILL CALL
SECRETARY
728 GINKGO DRIVE
SHELBYVILLE KY 40065

Organization’s website
Organization’s email SOUTHSIDEPTO@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2007
Organization Incorporation State KY
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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