FORM 1023-EZ for HINCKLEY ELEMENTARY SCHOOL PARENT TEACHER ORGANIZATION

Field Data
EIN 81-3409472
Case Number EO-2016272-000205
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HINCKLEY ELEMENTARY SCHOOL PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 111 BLAIR AVE S
City HINCKLEY
State MN
ZIP 55037
Accounting period End 12
Primary contact name TINA RABE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER VONRUEDEN
PRESIDENT
18667 VON RD
HINCKLEY MN 55037

Officer/Director/Trustee Two

ALISSA CLARK
VICE PRESIDENT
43296 LITTLE SAND RD
HINCKLEY MN 55037

Officer/Director/Trustee Three

AMANDA WESTRUM
SECRETARY
108 BLAIR AVE S
HINCKLEY MN 55037

Officer/Director/Trustee Four

TINA RABE
TREASURER
20726 KING RAIL DRIVE
HICNKEY MN 55037

Organization’s website
Organization’s email PTO2165@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2016
Organization Incorporation State MN
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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