FORM 1023-EZ for FAIRGROVE MIDDLE SCHOOL PTA

Field Data
EIN 27-4514408
Case Number EO-2015140-000308
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAIRGROVE MIDDLE SCHOOL PTA
Organization’s Mailing Address 1953 FAIRGROVE ROAD
City FAIRMONT
State NC
ZIP 28340
Accounting period End 6
Primary contact name PATRICIA LOCKLEAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICIA LOCKLEAR
PRESIDENT
3588 PLEASANT HOPE ROAD
FAIRMONT NC 28340

Officer/Director/Trustee Two

KEVIN CHAVIS
VICE PRESIDENT
760 JW ROAD
FAIRMONT NC 28340

Officer/Director/Trustee Three

SARAH HUNT
SECRETARY
4644 US HIGHWAY 301
ROWLAND NC 28383

Officer/Director/Trustee Four

GEORGETTE HUNT
TREASURER
3948 RAYNHAM ROAD
FAIRMONT NC 28340

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2010
Organization Incorporation State NC
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 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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