FORM 1023-EZ for FAIR SCHOOL PILGRIM LANE PTO INC

Field Data
EIN 82-3022088
Case Number EO-2018128-000968
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAIR SCHOOL PILGRIM LANE PTO INC
Organization’s Mailing Address 3725 PILGRIM LANE N
City PLYMOUTH
State MN
ZIP 55441
Accounting period End 8
Primary contact name JENNIFER MADSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BURKE MAYS
PRESIDENT
4254 ISLEMOUNT PLACE
ROBBINSDALE MN 55422

Officer/Director/Trustee Two

SHERYL CUMMINGS
VICE PRESIDENT
4901 DRAKE ROAD
ROBBINSDALE MN 55422

Officer/Director/Trustee Three

SHANNON JOHNSON
SECRETARY
4070 FLAG AVE N
NEW HOPE MN 55427

Officer/Director/Trustee Four

JILL TREI
CO-TREASURER
3547 YORK AVE N
ROBBINSDALE MN 55422

Officer/Director/Trustee Five

JENNIFER MADSEN
CO-TREASURER
4100 SCOTT AVE N
ROBBINSDALE MN 55422

Organization’s website HTTPS://WWW.FACEBOOK.COM/FAIRPILGRIMLANEPTO/
Organization’s email FAIRPILGRIMLANEPTO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/17
Organization Incorporation State MN
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 Yes
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 JENNIFER MADSEN
Signature Title CO-TREASURER
Signature Date 5/3/18

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