FORM 1023-EZ for MOUNT BAKER MIDDLE SCHOOL PARENT TEACHER ORGANIZATION

Field Data
EIN 91-1846392
Case Number EO-2018115-000289
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNT BAKER MIDDLE SCHOOL PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 2310 E SECTION STREET
City MOUNT VERNON
State WA
ZIP 98273
Accounting period End 10
Primary contact name RENATA MAYABRUCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY BEEK
BOARD PRESIDENT
17665 S SKYRIDGE DRIVE
MOUNT VERNON WA 98274

Officer/Director/Trustee Two

RENATA MAYBRUCK
VICE PRESIDENT
4223 MONTGOMERY PLACE
MOUNT VERNON WA 98273

Officer/Director/Trustee Three

ANDREA BRANNMAN
SECRETARY
2100B 19TH STREET
MOUNT VERNON WA 98273

Officer/Director/Trustee Four

CHRISTINA CRIM
TREASURER
4208 KIOWA DRIVE
MOUNT VERNON WA 98273

Organization’s website HTTP://MOUNTBAKER.MOUNTVERNONSCHOOLS.ORG/
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/12
Organization Incorporation State WA
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: No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name RENATA MAYBRUCK
Signature Title VICE PRESIDENT
Signature Date 4/23/18

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