FORM 1023-EZ for HOMEDALE ELEMENTARY SCHOOL PARENT TEACHER ORGANIZATION INC

Field Data
EIN 81-2487466
Case Number EO-2016214-000394
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOMEDALE ELEMENTARY SCHOOL PARENT TEACHER ORGANIZATION INC
Organization’s Mailing Address 420 WEST WASHINGTON AVE
City HOMEDALE
State ID
ZIP 83628-0402
Accounting period End 6
Primary contact name CHELSEA KENNEDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAMILLE HECK
PRESIDENT
27602 WEST PETOLLA
WILDER ID 83676-2760

Officer/Director/Trustee Two

PETREA LEE
VICE PRESIDENT
1935 NORTHSIDE ROAD
HOMEDALE ID 83628-1935

Officer/Director/Trustee Three

ROBYN CHANDLER
SECRETARY
501 SOUTH 2ND STREET EAST
HOMEDALE ID 83628-0501

Officer/Director/Trustee Four

KAYLA BLACKSTOCK
SECRETARY
16674 NORTH PROFIT CIRCLE APT 102
NAMPA ID 83687-1667

Officer/Director/Trustee Five

CHELSEA KENNEDY
TREASURER
4505 WALKER LANE
HOMEDALE ID 83628-4505

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/2016
Organization Incorporation State ID
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 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
Signature Title
Signature Date

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