FORM 1023-EZ for CENTRAL HEIGHTS PTA

Field Data
EIN 58-1363628
Case Number EO-2020259-000041
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTRAL HEIGHTS PTA
Organization’s Mailing Address 5632 BLOOMINGDALE RD
City BLOUNTVILLE
State TN
ZIP 37617
Accounting period End 6
Primary contact name KRISTEN COWAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTEN COWAN
PRESIDENT
5632 BLOOMINGDALE RD
Blountville TN 37617

Officer/Director/Trustee Two

VERONICA LAISURE
VICE PRESIDENT
258 CRYSTAL SPRINGS RD
BLOUNTVILLE TN 37617

Officer/Director/Trustee Three

PATRICIA HAYES
SECRETARY
314 MOCKINGBIRD PLACE
BLOUNTVILLE TN 37617

Officer/Director/Trustee Four

MEG PARKER
TREASURER
238 MEADOW BROOK LN
KINGSPORT TN 37660

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2010
Organization Incorporation State TN
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KRISTEN COWAN
Signature Title PRESIDENT
Signature Date 9/11/2020

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