FORM 1023-EZ for CAMPBELL MIDDLE PTSA

Field Data
EIN 47-2141118
Case Number EO-2018101-000377
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMPBELL MIDDLE PTSA
Organization’s Mailing Address 625 S KEECH STREET
City DAYTONA BEACH
State FL
ZIP 32114
Accounting period End 6
Primary contact name TRISHA SCHEUERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRISHA SCHEUERMAN
PRESIDENT
2924 GASLIGHT DRIVE
SOUTH DAYTONA FL 32119

Officer/Director/Trustee Two

TASHA MOSELEY
TREASURER
1156 13TH STREET
DAYTONA BEACH FL 32117

Officer/Director/Trustee Three

LATOYA ELLIOT
SECRETARY
461 LOCKHART STREET
DAYTONA BEACH FL 32114

Organization’s website
Organization’s email CMSSPARTANPTA@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/94
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name TRISHA SCHEUERMAN
Signature Title PRESIDENT
Signature Date 4/9/18

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