FORM 1023-EZ for ATHLOS LEADERSHIP ACADEMY PARENT TEACHER ORGANIZATION

Field Data
EIN 46-4574757
Case Number EO-2016035-000308
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ATHLOS LEADERSHIP ACADEMY PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 3711 SHORELINE DR ROOM 125
City AUSTIN
State TX
ZIP 78728
Accounting period End 7
Primary contact name TIFFANY STILLWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIFFANY STILLWELL
PRESIDENT
12500 PINTAIL CV
AUSTIN TX 78729

Officer/Director/Trustee Two

DIANA SILVA
VICE PRESIDENT
900 BROKEN FEATHER TRL
PFLUGERVILLE TX 78660

Officer/Director/Trustee Three

BRUCE BOWLES
MEMBERSHIP CHAIR
1515 EMPEROR CT
ROUND ROCK TX 78664

Officer/Director/Trustee Four

KATHY BROWN
TREASURER
15857 SAMBUCA CIR
AUSTIN TX 78728

Officer/Director/Trustee Five

JOHN HOFFER
HISTORIAN
107 HYLTIN ST
HUTTO TX 78634

Organization’s website ATHLOSAUSTINPTO.COM
Organization’s email ATHLOSAUSTINPTO@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2014
Organization Incorporation State TX
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 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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