FORM 1023-EZ for LEWIS PALMER ELEMENTARY SCHOOL PTOINC

Field Data
EIN 46-5173199
Case Number EO-2014274-000109
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEWIS PALMER ELEMENTARY SCHOOL PTOINC
Organization’s Mailing Address 1315 LAKE WOODMOOR DRIVE
City MONUMENT
State CO
ZIP 80132
Accounting period End 6
Primary contact name COLETTE MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUSAN HUNTER SMITH
CO PRESIDENT
1315 LAKE WOODMOOR DRIVE
MONUMENT CO 80132

Officer/Director/Trustee Two

ARIN PETERSON
CO PRESIDENT
1315 LAKE WOODMOOR DRIVE
MONUMENT CO 80132

Officer/Director/Trustee Three

JENNIFER TOTH MUELLER
VICE PRESIDENT
1315 LAKE WOODMOOR DRIVE
MONUMENT CO 80132

Officer/Director/Trustee Four

TIFFINEY UPCHURCH
SECRETARY
1315 LAKE WOODMOOR DRIVE
MONUMENT CO 80132

Officer/Director/Trustee Five

COLETTE MARTIN
TREASURER
1315 LAKE WOODMOOR DRIVE
MONUMENT CO 80132

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2012
Organization Incorporation State CO
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
Signature Title
Signature Date

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