FORM 1023-EZ for WOODLAN PARENT TEACHER ORGANIZATION

Field Data
EIN 45-2886285
Case Number EO-2014323-000226
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WOODLAN PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 17215 WOODBURN RD
City WOODBURN
State IN
ZIP 46797
Accounting period End 6
Primary contact name CINDRA BEMUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JESSICA REIFENBERG
PRESIDENT
7012 BULL RAPIDS RD
WOODBURN IN 46797

Officer/Director/Trustee Two

CINDRA BEMUS
TREASURER
11525 EDGERTON RD
NEW HAVEN IN 46774

Officer/Director/Trustee Three

TESSIE SHERWOOD
SECRETARY
22205 MAPLE LN
WOODBURN IN 46797

Officer/Director/Trustee Four

SARAH ROSSI
VICE PRESIDENT
21727 WOODBURN RD LOT 18B
WOODBURN IN 46797

Officer/Director/Trustee Five

JANET ROEHM
JR HIGH COORDINATOR
16230 VENISON TRAIL
WOODBURN IN 46797

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2011
Organization Incorporation State IN
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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