FORM 1023-EZ for WEST FORK PTO

Field Data
EIN 82-2993828
Case Number EO-2018038-000195
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WEST FORK PTO
Organization’s Mailing Address 3 WALNUT COURT
City ROCKWELL
State IA
ZIP 50469-1072
Accounting period End 12
Primary contact name ADAM WEDMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEAGEN WENTZ
CHAIR
2 WALNUT COURT
ROCKWELL IA 50469-1072

Officer/Director/Trustee Two

BETH STRIKE
VICE CHAIR
431 BRICKYARD ROAD
SHEFFIELD IA 50475-9704

Officer/Director/Trustee Three

ADAM WEDMORE
SECRETARY/TREASURER
3 WALNUT COURT
ROCKWELL IA 50469-1072

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/17
Organization Incorporation State IA
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 ADAM WEDMORE
Signature Title SECRETARY/TREASURER
Signature Date 2/5/18

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