FORM 1023-EZ for DOUGLASS VALLEY ELEMENTARY PTO

Field Data
EIN 45-3050389
Case Number EO-2017237-000056
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DOUGLASS VALLEY ELEMENTARY PTO
Organization’s Mailing Address 4160 DOUGLASS DR
City USAF ACADEMY
State CO
ZIP 80840
Accounting period End 6
Primary contact name IVY GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTINA JOSEY
PRESIDENT
4160 DOUGLASS DR
USAF ACADEMY CO 80840

Officer/Director/Trustee Two

IVY GREEN
TREASUER
4160 DOUGLASS DR
USAF ACADEMY CO 80840

Officer/Director/Trustee Three

CHARITY HARMON
VICE PRESIDENT
4160 DOUGLASS DR
USAF ACADEMY CO 80840

Officer/Director/Trustee Four

VANESSA GOODMAN
SECRETARY
4160 DOUGLASS DR
USAF ACADEMY CO 80840

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/2017
Organization Incorporation State CO
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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