FORM 1023-EZ for STAFF SGT LUCIAN ADAMS ELEMENTARY PARENT TEACHER ASSOCIATION

Field Data
EIN 80-0796838
Case Number EO-2016358-000149
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STAFF SGT LUCIAN ADAMS ELEMENTARY PARENT TEACHER ASSOCIATION
Organization’s Mailing Address 5701 9TH AVENUE
City PORT ARTHUR
State TX
ZIP 77642-6015
Accounting period End 5
Primary contact name CARLENE SINGLETON PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLENE SINGLETON
PRESIDENT
5701 9TH AVENUE
PORT ARTHUR TX 77642-6015

Officer/Director/Trustee Two

KATIE PORTER
1ST VICE PRESIDENT
5701 9TH AVENUE
PORT ARTHUR TX 77642-6015

Officer/Director/Trustee Three

REBECCA MARTINEZ
2ND VICE PRESIDENT
5701 9TH AVENUE
PORT ARTHUR TX 77642-6015

Officer/Director/Trustee Four

ANGELA VALKA
SECRETARY
5701 9TH AVENUE
PORT ARTHUR TX 77642-6015

Officer/Director/Trustee Five

LORI ROCCAFORTE
TREASURER
5701 9TH AVNUE
PORT ARTHUR TX 77642-6015

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2012
Organization Incorporation State TX
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: 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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