FORM 1023-EZ for E M HOLT ELEMENTARY SCHOOL PARENT TEACHER ORGANIZATION

Field Data
EIN 27-0868962
Case Number EO-2018088-000101
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name E M HOLT ELEMENTARY SCHOOL PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 4751 SOUTH NC 62
City BURLINGTON
State NC
ZIP 27215
Accounting period End 6
Primary contact name SHANON LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMIE WILLIAMS
PRESIDENT
123 FLORENCE STREET
GRAHAM NC 27253

Officer/Director/Trustee Two

DANIEL TICHY
VICE PRESIDENT
3568 LIBERTY DRIVE
BURLINGTON NC 27215

Officer/Director/Trustee Three

SHANNON BAILEY-SMITH
SECRETARY
6573 ALAMANCE COUNTY LINE ROAD
LIBERTY NC 27298-9340

Officer/Director/Trustee Four

SHANON LEE
TREASURER
466 RETREAT LANE
BURLINGTON NC 27215

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/09
Organization Incorporation State NC
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: Yes
Scientific: Yes
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 Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHANON LEE
Signature Title TREASURER
Signature Date 3/26/18

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