FORM 1023-EZ for BESS MAXWELLS PARENT TEACHER STUDENT ORGANIZATION

Field Data
EIN 47-5057035
Case Number EO-2015274-000419
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BESS MAXWELLS PARENT TEACHER STUDENT ORGANIZATION
Organization’s Mailing Address 1124 EL DORADO ST
City CRESCENT CITY
State CA
ZIP 95531
Accounting period End 6
Primary contact name JENNIFER MOBLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER MOBLEY
PRESIDENT
130 NATIONAL PARK WAY
CRESCENT CITY CA 95531

Officer/Director/Trustee Two

MOLLY PADILLA
TREASURER
717 MURPHY AVE
CRESCENT CITY CA 95531

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/2012
Organization Incorporation State CA
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 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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