FORM 1023-EZ for WEST BRANCH MIDDLE SCHOOL PIE

Field Data
EIN 27-0924557
Case Number EO-2015016-000508
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WEST BRANCH MIDDLE SCHOOL PIE
Organization’s Mailing Address 14409 BELOIT SNODES RD
City BELOIT
State OH
ZIP 44609
Accounting period End 6
Primary contact name TAMMY MIKOL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LORI MICKEY
PRESIDENT
15803 DANBURY DR
SALEM OH 44460

Officer/Director/Trustee Two

SARAH BUTLER
VICE PRESIDENT
15400 W PINE LAKE RD
SALEM OH 44460

Officer/Director/Trustee Three

TAMMY MIKOL
TREASURER
12865 DUCK CREEK RD
SALEM OH 44460

Officer/Director/Trustee Four

TINA DAVIS
SECRETARY
11160 W PINE LAKE RD
SALEM OH 44460

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2007
Organization Incorporation State OH
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: No
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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