FORM 1023-EZ for MITTYE P LOCKE ELEMENTARY PTA

Field Data
EIN 23-7103684
Case Number EO-2017136-000180
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MITTYE P LOCKE ELEMENTARY PTA
Organization’s Mailing Address 4339 EVANS AVENUE
City NEW PORT RICHEY
State FL
ZIP 34652
Accounting period End 7
Primary contact name ANDREA MORROW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA MORROW
PRESIDENT
4339 EVANS AVENUE
NEW PORT RICHEY FL 34652

Officer/Director/Trustee Two

JENNIFER DELKS
SECRETARY
4339 EVANS AVENUE
NEW PORT RICHEY FL 34652

Officer/Director/Trustee Three

CHARMIAN ISHAHAK-WILSON
TREASURER
4339 EVANS AVENUE
NEW PORT RICHEY FL 34652

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/1986
Organization Incorporation State FL
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: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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