FORM 1023-EZ for ROSA PARKS PARENT TEACHER ORGANIZATION

Field Data
EIN 46-4487305
Case Number EO-2014241-000059
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROSA PARKS PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 5701 E RED OAK DR
City SIOUX FALLS
State SD
ZIP 57110
Accounting period End 6
Primary contact name LORI HEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHELLE ENGET
PRESIDENT/DIRECTOR
4821 E 41ST ST APT 101
SIOUX FALLS SD 57110

Officer/Director/Trustee Two

ANGELA SCHMALTZ
SECRETARY/DIRECTOR
706 LEONARD ST
HARRISBURG SD 57032

Officer/Director/Trustee Three

LORI HEIN
TREASURER/DIRECTOR
2701 S AVONDALE CT
SIOUX FALLS SD 57110

Officer/Director/Trustee Four

KRISTIE TAARUD
DIRECTOR
324 N LASALLE
SIOUX FALLS SD 57110

Officer/Director/Trustee Five

TRICIA HARTMAN
VICE PRESIDENT
3209 S NEWCASTLE CT
SIOUX FALLS SD 57110

Organization’s website
Organization’s email ROSAPARKSWILDCATS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2014
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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
Signature Title
Signature Date

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