FORM 1023-EZ for GILSUM STEAM ACADEMY PARENT TEACHERCOMMUNITY ASSOCIATION

Field Data
EIN 47-2514704
Case Number EO-2019242-000076
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GILSUM STEAM ACADEMY PARENT TEACHERCOMMUNITY ASSOCIATION
Organization’s Mailing Address PO BOX 38
City GILSUM
State NH
ZIP 3448-38
Accounting period End 6
Primary contact name JONATHAN BIALEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JILLIAN EXEL
PRESIDENT
53 KATIE LANE
SWANZEY NH 3446

Officer/Director/Trustee Two

EMILY KERYLOW
VICE PRESIDENT
24 CORY POND ROAD
SWANZEY NH 3446

Officer/Director/Trustee Three

JONATHAN BIALEK
TREASURER
887A ROUTE 10
GILSUM NH 3448

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/15
Organization Incorporation State NH
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JONATHAN BIALEK
Signature Title TREASURER
Signature Date 8/28/19

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