FORM 1023-EZ for CLEVELAND HIGH SCHOOL PTO

Field Data
EIN 83-1061617
Case Number EO-2018190-000448
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLEVELAND HIGH SCHOOL PTO
Organization’s Mailing Address 1892 POLENTA ROAD
City CLAYTON
State NC
ZIP 27520
Accounting period End 6
Primary contact name MELISSA BLANCHARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA BLANCHARD
PRESIDENT
1892 POLENTA RD
CLAYTON NC 27520

Officer/Director/Trustee Two

VICKIE HOLBROOK
VICE PRESIDENT
1892 POLENTA RD
CLAYTON NC 27520

Officer/Director/Trustee Three

MANDY THOMAS
TREASURER
1892 POLENTA RD
CLAYTON NC 27520

Officer/Director/Trustee Four

GINNY PENRY
SECRETARY
1892 POLENTA RD
CLAYTON NC 27520

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/18
Organization Incorporation State NC
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: No
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 MELISSA BLANCHARD
Signature Title PRESIDENT
Signature Date 7/5/18

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