FORM 1023-EZ for GROVER BEACH ELEMENTARY SCHOOL PARENT TEACHER ORGANIZATION

Field Data
EIN 30-0614287
Case Number EO-2019099-000139
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GROVER BEACH ELEMENTARY SCHOOL PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 365 S 10TH ST
City GROVER BEACH
State CA
ZIP 93433
Accounting period End 7
Primary contact name STEPHANIE PEPPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERI GRAHAM
PRESIDENT
638 SEABRIGHT AVE
GROVER BEACH CA 93433

Officer/Director/Trustee Two

LIZETTE AGUILAR
SECRETARY
2565 LANCASTER DR
ARROYO GRANDE CA 93420

Officer/Director/Trustee Three

STEPHANIE PEPPER
TREASURER
1231 MENTONE AVE B
GROVER BEACH CA 93433

Officer/Director/Trustee Four

KELLY COX
CO-TREASURER
1618 LONGBRANCH
GROVER BEACH CA 93433

Officer/Director/Trustee Five

ROSA CASTANEDA
MEMBER AT LARGE
691 S 13TH ST
GROVER BEACH CA 93433

Organization’s website
Organization’s email GROVERBEACHPTO@GMAI.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/22/17
Organization Incorporation State CA
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STEPHANIE PEPPER
Signature Title TREASURER
Signature Date 4/5/19

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