FORM 1023-EZ for SILVER SUMMIT ACADEMY ELEMENTARY PARENT TEACHER ORGANIZATION

Field Data
EIN 83-1882186
Case Number EO-2018302-000183
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SILVER SUMMIT ACADEMY ELEMENTARY PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 6407 NORTH BUSINESS LOOP ROAD
City PARK CITY
State UT
ZIP 84098
Accounting period End 7
Primary contact name LOUISE WILOUGHBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOUISE WILOUGHBY
DIRECTOR
38 W 150 S
COALVILLE UT 84017

Officer/Director/Trustee Two

DANETTE MONSON
DIRECTOR
1075 E 1040 S
HEBER UT 84032

Officer/Director/Trustee Three

DARI THACKER
DIRECTOR
5043 N SR 32
OAKLEY UT 84036

Organization’s website
Organization’s email SSACADEMYPTO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/18
Organization Incorporation State UT
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 No
Correctness Declaration Yes
Signature Name DANETTE MONSON
Signature Title DIRECTOR
Signature Date 10/24/18

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