FORM 1023-EZ for ROSE VALLEY ELEMENTARY PARENT TEACHER ORGANIZATION

Field Data
EIN 91-2015424
Case Number EO-2021127-000060
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROSE VALLEY ELEMENTARY PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 1502 ROSE VALLEY RD
City KELSO
State WA
ZIP 98626-9612
Accounting period End 6
Primary contact name JAMI PANNELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRITTANY SHAY
PRESIDENT
1502 ROSE VALLEY RD
KELSO WA 98626-9612

Officer/Director/Trustee Two

KIRSTIN RIBELIN
TREASURER
1502 ROSE VALLEY RD
KELSO WA 98626-9612

Officer/Director/Trustee Three

CIM COGBURN
VICE PRESIDENT
1502 ROSE VALLEY RD
KELSO WA 98626-9612

Officer/Director/Trustee Four

KRISTA ARNESS
SECRETARY
1502 ROSE VALLEY RD
KELSO WA 98626-9612

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2021
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: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 KIRSTIN RIBELIN
Signature Title TREASURER
Signature Date 5/5/2021

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