FORM 1023-EZ for NISLEY ELEMENTARY PARENT-TEACHER ORGANIZATION

Field Data
EIN 30-0625954
Case Number EO-2016326-000407
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NISLEY ELEMENTARY PARENT-TEACHER ORGANIZATION
Organization’s Mailing Address 543 28 3/4 ROAD
City GRAND JUNCTION
State CO
ZIP 81501
Accounting period End 12
Primary contact name SAMUEL COLLIN ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL ROBINSON
PRESIDENT
543 28 3/4 ROAD
GRAND JUNCTION CO 81501

Officer/Director/Trustee Two

APRIL KAISER
VICE-PRESIDENT
543 28 3/4 ROAD
GRAND JUNCTION CO 81501

Officer/Director/Trustee Three

JENNIFER THOMAS
TREASURER
543 28 3/4 ROAD
GRAND JUNCTION CO 81501

Officer/Director/Trustee Four

PAMELA MARTINEZ
SECRETARY
543 28 3/4 ROAD
GRAND JUNCTION CO 81501

Organization’s website
Organization’s email C011INR06IN50N@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2016
Organization Incorporation State CO
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 Yes
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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