FORM 1023-EZ for RANDALL SCHOOL PARENT-TEACHER CLUBINC

Field Data
EIN 39-1947166
Case Number EO-2014245-000326
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RANDALL SCHOOL PARENT-TEACHER CLUBINC
Organization’s Mailing Address 37101 87TH ST
City BURLINGTON
State WI
ZIP 53105
Accounting period End 7
Primary contact name TERESA MORTENSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHANIE VESCOVA
PRESIDENT
1902 SUNSET DR
TWIN LAKES WI 53181

Officer/Director/Trustee Two

MELISSA WALTER
VICE PRESIDENT
2808 SHADY LANE
TWIN LAKES WI 53181

Officer/Director/Trustee Three

MICHELLE MISCINSKI
SECRETARY
1805 PHEASANT AVE
TWIN LAKES WI 53181

Officer/Director/Trustee Four

TERRA MENER
TREASURER
31522 118TH STREET
TWIN LAKES WI 53181

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/2011
Organization Incorporation State WI
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 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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