FORM 1023-EZ for EMMA CHASE PARENT TEACHER ORGANIZATION

Field Data
EIN 14-1700275
Case Number EO-2019280-000322
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMMA CHASE PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 28 PENNSYLVANIA AVENUE
City WURTSBORO
State NY
ZIP 12790
Accounting period End 6
Primary contact name JONATHAN ROUIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER UNVERZAGT
PRESIDENT
28 PENNSYLVANIA AVENUE
WURTSBORO NY 12790

Officer/Director/Trustee Two

DANIELLE POGOZELSKI
TREASURER
28 PENNSYLVANIA AVENUE
WURTSBORO NY 12790

Officer/Director/Trustee Three

JENNIFER ROBINHOLT
VICE PRESIDENT
28 PENNSYLVANIA AVENUE
WURTSBORO NY 12790

Officer/Director/Trustee Four

JAMIE CHAMBERS
SECRETARY
28 PENNSYLVANIA AVENUE
WURTSBORO NY 12790

Officer/Director/Trustee Five

PENELOPE MELAY
CORRESPONDING SECRETARY
28 PENNSYLVANIA AVENUE
WURTSBORO NY 12790

Organization’s website
Organization’s email CHASEPTO@K12MCSD.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/76
Organization Incorporation State NY
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: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DANIELLE POGOZELSKI
Signature Title TREASURER
Signature Date 10/4/19

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