FORM 1023-EZ for MOUNTAIN HOME PARENT TEACHER ORGANIZATION INC

Field Data
EIN 81-2592601
Case Number EO-2016210-000078
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOUNTAIN HOME PARENT TEACHER ORGANIZATION INC
Organization’s Mailing Address 2465 RODEO DRIVE
City MOUNTAIN HOME
State AR
ZIP 72653
Accounting period End 6
Primary contact name SANDRA CONNELLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHENNA ESTES
CO-PRESIDENT
90 COUNTY ROAD 348
MOUNTAIN HOME AR 72653

Officer/Director/Trustee Two

HEATHER HALSTED
CO-PRESIDENT
3412 ROBINSON DRIVE
MOUNTAIN HOME AR 72653

Officer/Director/Trustee Three

SANDRA CONNELLEY
VICE PRESIDENT
522 COUNTY ROAD546
MOUNTAIN HOME AR 72653

Officer/Director/Trustee Four

CARA COLEMAN
SECRETARY
55 NORTH POINT DRIVE
MOUNTAIN HOME AR 72653

Officer/Director/Trustee Five

ANNETTE WALDEN
TREASURER
1319 OSAGE LANE
MOUNTAIN HOME AR 72653

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/2016
Organization Incorporation State AR
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 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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