FORM 1023-EZ for JEFFERSON ELEMENTARY SCHOOL PTA

Field Data
EIN 36-3673688
Case Number EO-2016119-000403
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEFFERSON ELEMENTARY SCHOOL PTA
Organization’s Mailing Address 211 MCCORMICK DR
City DEKALB
State IL
ZIP 60115-1813
Accounting period End 6
Primary contact name JOAN PONTARELLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOAN PONTARELLI
PRESIDENT
434 W HILLCREST DR
DEKALB IL 60115-2335

Officer/Director/Trustee Two

ANGELA SCHIOLA
VICE PRESIDENT
207 RIVER DR
DEKALB IL 60115-1921

Officer/Director/Trustee Three

KIM KUBA
SECRETARY
102 REGAL DR
DEKALB IL 60115-1830

Officer/Director/Trustee Four

JEREMY FALK
TREASURER
1626 SLEEPY HOLLOW LN
DEKALB IL 60115-1750

Organization’s website
Organization’s email JEFFERSONPTAD428@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/2016
Organization Incorporation State IL
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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