FORM 1023-EZ for HARTLAND LAKES PTO

Field Data
EIN 86-1143480
Case Number EO-2016161-000366
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARTLAND LAKES PTO
Organization’s Mailing Address 687 TAYLOR RD
City BRIGHTON
State MI
ZIP 48114
Accounting period End 7
Primary contact name JENNY BULTHUIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHEALYNN MOE
PRESIDENT
7728 PRICE DRIVE
BRIGHTON MI 48114

Officer/Director/Trustee Two

CINDY SHAW
VICE PRESIDENT
553 S HACKER RD
BRIGHTON MI 48114

Officer/Director/Trustee Three

JODY WEHNER
VICE PRESIDENT
1502 SUMMERFIELD LANE
HOWELL MI 48843

Officer/Director/Trustee Four

JENNIFER BULTHUIS
TREASURER
1464 WOODHURST CT
HOWELL MI 48843

Officer/Director/Trustee Five

AMY PETRUCCI
SECRETARY
7626 GOLF CLUB ROAD
HOWELL MI 48843

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/2006
Organization Incorporation State MI
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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