FORM 1023-EZ for HIXSON MIDDLE SCHOOL PTO

Field Data
EIN 86-3564409
Case Number EO-2021196-000149
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIXSON MIDDLE SCHOOL PTO
Organization’s Mailing Address 5681 OLD HIXSON PIKE
City HIXSON
State TN
ZIP 37343
Accounting period End 7
Primary contact name LESLIE MURDOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMANTHA NEWTON
PRESIDENT
5681 OLD HIXSON PIKE
HIXSON TN 37343

Officer/Director/Trustee Two

SUE ADCOCK
VICE PRESIDENT
5681 OLD HIXSON PIKE
HIXSON TN 37343

Officer/Director/Trustee Three

DONNA RUCKER
SECRETARY
5681 OLD HIXSON PIKE
HIXSON TN 37343

Officer/Director/Trustee Four

SONYA REAGAN
TREASURER
5681 OLD HIXSON PIKE
HIXSON TN 37343

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2021
Organization Incorporation State TN
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 SAMANTHA NEWTON
Signature Title PRESIDENT
Signature Date 7/13/2021

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