FORM 1023-EZ for PIRATES PTO

Field Data
EIN 46-3793877
Case Number EO-2014318-000192
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PIRATES PTO
Organization’s Mailing Address 1770 HAZELWOOD RD
City CLARKSVILLE
State TN
ZIP 37042-9998
Accounting period End 6
Primary contact name CHRISTIE LYNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTIE LYNES
PRESIDENT
1710 CABANA DR
CLARKSVILLE TN 37042-9998

Officer/Director/Trustee Two

COURTNEY ROTHERMEL
VICE- PRESIDENT
3795 MCALLISTER DR
CLARKSVILLE TN 37042-9998

Officer/Director/Trustee Three

KENDRA WOODS-WOODRUFF
TREASURER
1704 AUTUMN DR
CLARKSVILLE TN 37042-9998

Officer/Director/Trustee Four

BRITTANY WADHAM
SECRETARY
3792 MAN O WAR BLVD
CLARKSVILLE TN 37042-9998

Organization’s website
Organization’s email PISGAHPTO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2014
Organization Incorporation State TN
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 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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