FORM 1023-EZ for HERK BOURIS ELEMENTARY PTO

Field Data
EIN 47-4505127
Case Number EO-2016160-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HERK BOURIS ELEMENTARY PTO
Organization’s Mailing Address 34257 KALANCHOE ROAD
City LAKE ELSINORE
State CA
ZIP 92532-2996
Accounting period End 6
Primary contact name SAMANTHA MORRISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DALLAL ABUELOUF HARB
PRESIDENT
34257 KALANCHOE ROAD
LAKE ELSINORE CA 92532-2996

Officer/Director/Trustee Two

TAHNEE SANCHEZ
VICE PRESIDENT/SECRETARY
34257 KALANCHOE ROAD
LAKE ELSINORE CA 92532-2996

Officer/Director/Trustee Three

SAMANTHA MORRISON
TREASURER
34257 KALANCHOE ROAD
LAKE ELSINORE CA 92532-2996

Organization’s website NONE
Organization’s email SAMANTHAMTSC@LIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/2016
Organization Incorporation State CA
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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