FORM 1023-EZ for GRIGSBY INTERMEDIATE PTO

Field Data
EIN 82-1135467
Case Number EO-2017251-000395
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRIGSBY INTERMEDIATE PTO
Organization’s Mailing Address 100 JAMAICA ROAD
City CARLISLE
State OH
ZIP 45005
Accounting period End 6
Primary contact name ANDREA NEFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA NEFF
PRESIDENT
90 VERNON PL
CARLISLE OH 45005

Officer/Director/Trustee Two

LISA FATH
VICE PRESIDENT
1081 DUBOIS RD
CARLISLE OH 45005

Officer/Director/Trustee Three

LESLIE TURNER
VICE PRESIDENT
7407 MARTZ PAULIN RD
CARLISLE OH 45005

Officer/Director/Trustee Four

STEPHANIE NAYLOR
SECRETARY
7401 BETH CT
CARLISLE OH 45005

Officer/Director/Trustee Five

NICKI SWEENEY
TREASURER
525 JOHN ST
CARLISLE OH 45005

Organization’s website NA
Organization’s email GRIGSBYINTERMEDIATEPTO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/2017
Organization Incorporation State OH
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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