FORM 1023-EZ for WOODSIDE MIDDLE SCHOOL PTC

Field Data
EIN 35-1863436
Case Number EO-2017045-000159
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WOODSIDE MIDDLE SCHOOL PTC
Organization’s Mailing Address 2310 W HAMILTON ROAD SOUTH
City FORT WAYNE
State IN
ZIP 46814
Accounting period End 6
Primary contact name LISA CLEGG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNY FAWBUSH
PRESIDENT
9712 BLUE MOUND DR
FORT WAYNE IN 46804

Officer/Director/Trustee Two

LISA CLEGG
VICE PRESIDENT
1231 GRUETTERT COURT
FORT WAYNE IN 46818

Officer/Director/Trustee Three

LESLIE PALMER
TREASURER
1827 HIGHLANDER CT
FORT WAYNE IN 46804

Officer/Director/Trustee Four

ALICIA DIGIULIO
SECRETARY
13720 PENDLETON MILL ROAD
FORT WAYNE IN 46814

Organization’s website
Organization’s email WOODSIDEPTC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2017
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: 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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