FORM 1023-EZ for MID PENINSULA SCHOOL PARENT TEACHERORGANIZATION

Field Data
EIN 83-3334412
Case Number EO-2019038-000429
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MID PENINSULA SCHOOL PARENT TEACHERORGANIZATION
Organization’s Mailing Address 3973 SAINT NICHOLAS 31ST ROAD
City ROCK
State MI
ZIP 49880-9558
Accounting period End 12
Primary contact name MANDI LIPPENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEGGAN BRANSTROM
INTERIM PRESIDENT
5414 STATE HWY M-35
PERKINS MI 49872

Officer/Director/Trustee Two

ROBIN SEYMOUR
INTERIM VICE-PRESIDENT
16196 V POINT 25 ROAD
RAPID RIVER MI 49878-9721

Officer/Director/Trustee Three

MANDI LIPPENS
INTERIM SECRETARY
3973 SAINT NICHOLAS 31ST ROAD
ROCK MI 49880-9558

Officer/Director/Trustee Four

LINDA HILLING
INTERIM TREASURER
3314 FINN HALL 38TH ROAD
ROCK MI 49880-9526

Organization’s website
Organization’s email MANDICATLING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/18
Organization Incorporation State MI
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 MANDI LIPPENS
Signature Title INTERIM SECRETARY
Signature Date 1/30/19

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