FORM 1023-EZ for FORDS PRAIRIE PTO

Field Data
EIN 46-3169951
Case Number EO-2016152-000159
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FORDS PRAIRIE PTO
Organization’s Mailing Address 1620 HARRISON AVE
City CENTRALIA
State WA
ZIP 98531
Accounting period End 6
Primary contact name DANA THUMMEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANNE BLAIR
PRESIDENT
P O BOX 157
CHEHALIS WA 98532

Officer/Director/Trustee Two

ANNA MARTIN
VICE PRESIDENT
8016 188TH AVE SW
ROCHESTER WA 98579

Officer/Director/Trustee Three

KATE HEDGERS
SECRETARY
3618-A COOKS HILL RD
CENTRALIA WA 98531

Officer/Director/Trustee Four

DANA THUMMEL
TREASURER
186 RIVER HEIGHTS RD
CENTRALIA WA 98531

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2013
Organization Incorporation State WA
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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