FORM 1023-EZ for DIXIE MIDDLE SCHOOL PTO

Field Data
EIN 83-4018271
Case Number EO-2019183-000021
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIXIE MIDDLE SCHOOL PTO
Organization’s Mailing Address 1340 S JOHNSVILLE ROAD
City NEW LEBANON
State OH
ZIP 45345
Accounting period End 6
Primary contact name REGINA CROTTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOM MAXWELL
PRINCIPAL
200 S FULS ROAD
NEW LEBANON OH 45345

Officer/Director/Trustee Two

REGINA CROTTY
TREASURER
1340 S JOHNSVILLE RD
NEW LEBANON OH 45345

Officer/Director/Trustee Three

CHRISTINE BAKER
PRESIDENT
200 S FULS ROAD
NEW LEBANON OH 45345

Officer/Director/Trustee Four

MELISSA JOHNSON
SECERTARY
200 S FULS ROAD
NEW LEBANON OH 45345

Officer/Director/Trustee Five

KARI BUTLER
VICE PRESIDENT
200 S FULS ROAD
NEW LEBANON OH 45345

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/19
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: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name REGINA CROTTY
Signature Title TREASURER
Signature Date 6/28/19

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