FORM 1023-EZ for BENTWORTH PTO

Field Data
EIN 46-4459286
Case Number EO-2014268-000313
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BENTWORTH PTO
Organization’s Mailing Address 100 BEARCAT DR
City BENTLEYVILE
State PA
ZIP 15314
Accounting period End 6
Primary contact name MICHELLE NUCCETELLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHELLE NUCCETELLI
PRESIDENT
PO BOX 218
ELLSWORTH PA 15331

Officer/Director/Trustee Two

JULIE BALDAUF
VICE PRESIDENT
97 SCOTT RD
EIGHTY FOUR PA 15330

Officer/Director/Trustee Three

JENNIFER STILWELL
RECORDING SECRETARY
105 SPRING ST
BENTLEYVILLE PA 15314

Officer/Director/Trustee Four

JAMIE HARN
FISCAL SECRETARY
39 WASHINGTON ST
COKEBURG PA 15324

Officer/Director/Trustee Five

MISSY BOZOVICH
TREASURER
14 BIGLER RD
BENTLEYVILLE PA 15314

Organization’s website
Organization’s email BENTWORTHPTO@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2014
Organization Incorporation State PA
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 Yes
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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