FORM 1023-EZ for MATH AND SCIENCE ACADEMY PARENT TEACHER ORGANIZATION

Field Data
EIN 82-3386960
Case Number EO-2018051-000113
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MATH AND SCIENCE ACADEMY PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 8430 WOODBURY CROSSING
City WOODBURY
State MN
ZIP 55125-9433
Accounting period End 12
Primary contact name RACHEL BALLARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL BALLARD
CHAIRPERSON
11294 STONEMILL FARMS CURVE
WOODBURY MN 55129-5202

Officer/Director/Trustee Two

DIANE ERICKSON
VICE-CHAIRPERSON
746 SPRING HILL CIRCLE
WOODBURY MN 55125-3728

Officer/Director/Trustee Three

JENNIFER BARTLE
SECRETARY
6049 SUMMIT COURT SOUTH
COTTAGE GROVE MN 55016-4491

Officer/Director/Trustee Four

CAROLYN HAMIL
TREASURER
10990 EAGLE VIEW CIR
WOODBURY MN 55129-4296

Organization’s website N/A
Organization’s email MSAWOODBURYPTO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/18
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: Yes
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 RACHEL BALLARD
Signature Title CHAIRPERSON
Signature Date 2/15/18

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