FORM 1023-EZ for PALMETTO HIGH AICE PARENT ALLIANCECORP

Field Data
EIN 83-3411327
Case Number EO-2019039-000469
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PALMETTO HIGH AICE PARENT ALLIANCECORP
Organization’s Mailing Address PO BOX 1264
City ELLENTON
State FL
ZIP 34222
Accounting period End 6
Primary contact name SUSAN B HECKER ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL KENDZIOR
PRESIDENT DIRECTOR
3739 59TH AVE CIR E
ELLENTON FL 34222

Officer/Director/Trustee Two

STEPHANIE WALDO
VP DIRECTOR
13257 GOLF COURSE ROAD
PARRISH FL 34219

Officer/Director/Trustee Three

ALISON JOYCE BERGMAN
SECRETARY DIRECTOR
4211 99TH AVE E
PARRISH FL 34219

Officer/Director/Trustee Four

SONYA HOSTETLER LIGHT
TREASURER DIRECTOR
3427 50TH TERR E
BRADENTON FL 34208

Officer/Director/Trustee Five

SUSAN HECKER
DIRECTOR, ASSISTANT TREASURER
345 12TH AVE W
PALMETTO FL 34221

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/19
Organization Incorporation State FL
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 SUSAN HECKER
Signature Title DIRECTOR, ASSISTANT TREASURER
Signature Date 2/4/19
EIN 83-3411327
Case Number EO-2019039-000469
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PALMETTO HIGH AICE PARENT ALLIANCE CORP
Organization’s Mailing Address PO BOX 1264
City ELLENTON
State FL
ZIP 34222
Accounting period End 6
Primary contact name SUSAN B HECKER ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL KENDZIOR
PRESIDENT DIRECTOR
3739 59TH AVE CIR E
ELLENTON FL 34222

Officer/Director/Trustee Two

STEPHANIE WALDO
VP DIRECTOR
13257 GOLF COURSE ROAD
PARRISH FL 34219

Officer/Director/Trustee Three

ALISON JOYCE BERGMAN
SECRETARY DIRECTOR
4211 99TH AVE E
PARRISH FL 34219

Officer/Director/Trustee Four

SONYA HOSTETLER LIGHT
TREASURER DIRECTOR
3427 50TH TERR E
BRADENTON FL 34208

Officer/Director/Trustee Five

SUSAN HECKER
DIRECTOR, ASSISTANT TREASURER
345 12TH AVE W
PALMETTO FL 34221

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/19
Organization Incorporation State FL
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 SUSAN HECKER
Signature Title DIRECTOR, ASSISTANT TREASURER
Signature Date 2/4/19

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