FORM 1023-EZ for JORDAK PARENT TEACHER ORGANIZATIONINC

Field Data
EIN 82-5049311
Case Number EO-2019253-000175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JORDAK PARENT TEACHER ORGANIZATIONINC
Organization’s Mailing Address 16000 EAST HIGH ST
City MIDDLEFIELD
State OH
ZIP 44062
Accounting period End 6
Primary contact name TARA MATHYS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TARA MATHYS
PRESIDENT
16000 EAST HIGH STREET
MIDDLEFIELD OH 44062-8443

Officer/Director/Trustee Two

SHERRY HICKOX
VICE PRESIDENT
16000 EAST HIGH STREET
MIDDLEFIELD OH 44062-8443

Officer/Director/Trustee Three

KRISTEN CROUCHER
TREASURER
16000 EAST HIGH STREET
MIDDLEFIELD OH 44062-8443

Officer/Director/Trustee Four

SHANNA MILLER
RECORDING SECRETARY
16000 EAST HIGH STREET
MIDDLEFIELD OH 44062-8443

Organization’s website
Organization’s email JORDAKPTO188@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/18
Organization Incorporation State OH
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 TARA MATHYS
Signature Title PRESIDENT
Signature Date 9/6/19
EIN 82-5049311
Case Number EO-2019253-000175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JORDAK PARENT TEACHER ORGANIZATION INC
Organization’s Mailing Address 16000 EAST HIGH ST
City MIDDLEFIELD
State OH
ZIP 44062
Accounting period End 6
Primary contact name TARA MATHYS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TARA MATHYS
PRESIDENT
16000 EAST HIGH STREET
MIDDLEFIELD OH 44062-8443

Officer/Director/Trustee Two

SHERRY HICKOX
VICE PRESIDENT
16000 EAST HIGH STREET
MIDDLEFIELD OH 44062-8443

Officer/Director/Trustee Three

KRISTEN CROUCHER
TREASURER
16000 EAST HIGH STREET
MIDDLEFIELD OH 44062-8443

Officer/Director/Trustee Four

SHANNA MILLER
RECORDING SECRETARY
16000 EAST HIGH STREET
MIDDLEFIELD OH 44062-8443

Organization’s website
Organization’s email JORDAKPTO188@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/18
Organization Incorporation State OH
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 TARA MATHYS
Signature Title PRESIDENT
Signature Date 9/6/19

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