FORM 1023-EZ for WHITE LICK ELEMENTARY PARENT TEACHER OGANIZATION INC

Field Data
EIN 47-2473947
Case Number EO-2015054-000395
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WHITE LICK ELEMENTARY PARENT TEACHER OGANIZATION INC
Organization’s Mailing Address 1400 S ODELL ST
City BROWNSBURG
State IN
ZIP 46112
Accounting period End 6
Primary contact name ROBYN SHEPHERD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALEXANDRA ESTES
CO PRESIDENT
58 TROTTERS RUN
BROWNSBURG IN 46112

Officer/Director/Trustee Two

BARBRA-RIA BARRIDO-STEFFEY
CO PRESIDENT
9776 NICOLE LANE
BROWNSBURG IN 46112

Officer/Director/Trustee Three

KRISTINE MILLER
VICE PRESIDENT
9910 SPLIT ROCK WAY
INDIANAPOLIS IN 46234

Officer/Director/Trustee Four

BROOKE FIRESTINE
SECRETARY
4634 CRESCENT RIDGE DR
BROWNSBURG IN 46112

Officer/Director/Trustee Five

ROBYN SHEPHERD
TREASURER
8768 N CO RD 1050 E
BROWNSBURG IN 46112

Organization’s website WHITELICKPSG.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/2014
Organization Incorporation State IN
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 Yes
One Third Support Gifts No
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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