FORM 1023-EZ for MCKENZIE SCHOOL PARENT TEACHER ASSOCIATION

Field Data
EIN 63-1268827
Case Number EO-2017215-000552
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MCKENZIE SCHOOL PARENT TEACHER ASSOCIATION
Organization’s Mailing Address P O BOX 253
City MCKENZIE
State AL
ZIP 36456
Accounting period End 7
Primary contact name MARTHA B LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTHA LEWIS
OFFICER - PRESIDENT
1715 SALTER ROAD
MCKENZIE AL 36456

Officer/Director/Trustee Two

TAMALA LEE
VICE PRESIDENT
MCKENZIE STREET
MCKENZIE AL 36456

Officer/Director/Trustee Three

LINDSEY GOMILLION
TREASURER
2825 WELCOME CHURCH ROAD
GEORGIANA AL 36033

Officer/Director/Trustee Four

TORI NORRIS
SECRETARY
9071 E STATE HWY 106
GEORGIANA AL 36033

Officer/Director/Trustee Five

JUANITA CARY
TRUSTEE
31809 CO RD 6
EVERGREEN AL 36401

Organization’s website
Organization’s email MCKENZIESCHOOLPTA@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2015
Organization Incorporation State AL
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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