FORM 1023-EZ for ARBUCKLE ELEMENTARY SCHOOL PARENTSCLUB

Field Data
EIN 81-2074263
Case Number EO-2016097-000232
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARBUCKLE ELEMENTARY SCHOOL PARENTSCLUB
Organization’s Mailing Address PO BOX 100
City ARBUCKLE
State CA
ZIP 95912
Accounting period End 6
Primary contact name SALLIE LAGRANDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AMY WASHBURN
PRESIDENT
1222 HALL
ARBUCKLE CA 95912

Officer/Director/Trustee Two

SHELLEY MILLER
VICE PRESIDENT
440 WEST ROAD
ARBUCKLE CA 95912

Officer/Director/Trustee Three

SALLIE LAGRANDE
TREASURER
PO 62
WILLIAMS CA 95987

Officer/Director/Trustee Four

BETSY REYNA
SECRETARY
6740 MARINE AVE
ARBUCKLE CA 95912

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2009
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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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