FORM 1023-EZ for WEST BURLINGTON ELEMENTARY PARENT TEACHER ORGANIZATION

Field Data
EIN 42-6004023
Case Number EO-2014238-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WEST BURLINGTON ELEMENTARY PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 545 RAMSEY STREET
City WEST BURLINGTON
State IA
ZIP 52655
Accounting period End 12
Primary contact name JAMIE GRIMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMIE GRIMES
PRESIDENT
217 WINTER STREET
WEST BURLINGTON IA 52655

Officer/Director/Trustee Two

KAREN BROBSTON
VICE PRESIDENT
1229 S GARFIELD AVENUE
BURLINGTON IA 52601

Officer/Director/Trustee Three

HEATHER DAINS
SECRETARY
414 RUTHELLA DR
WEST BURLINGTON IA 52655

Officer/Director/Trustee Four

LISA BENCE
TREASURER
1412 S LEEBRICK
BURLINGTON IA 52601

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/1970
Organization Incorporation State IA
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 No
One Third Support Gifts Yes
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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