FORM 1023-EZ for NILES PRIMARY HOME AND SCHOOL ASSOCIATION

Field Data
EIN 81-1637676
Case Number EO-2016239-000166
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NILES PRIMARY HOME AND SCHOOL ASSOCIATION
Organization’s Mailing Address 960 FREDERICK STREET
City NILES
State OH
ZIP 44446
Accounting period End 6
Primary contact name MELISSA BICKERSTAFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA BICKERSTAFF
PRESIDENT
38 WAYNE STREET
NILES OH 44446

Officer/Director/Trustee Two

TIFFANY WHEELER
VICE PRESIDENT
814 HUGHES STREET
NILES OH 44446

Officer/Director/Trustee Three

JACQUELYN ZOOK
TREASURER
20 HIGLEY AVENUE
NILES OH 44446

Officer/Director/Trustee Four

KARA STANFORD
SECRETARY
867 CYNTHIA
NILES OH 44446

Officer/Director/Trustee Five

JOANNA GATTA
NILES PRIMARY PRINCIPAL
960 FREDERICK STREET
NILES OH 44446

Organization’s website
Organization’s email NILESPRIMARYHSA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2016
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: 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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