FORM 1023-EZ for COUNTRY VIEW PTO

Field Data
EIN 39-1777593
Case Number EO-2018079-000236
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COUNTRY VIEW PTO
Organization’s Mailing Address 710 LONE PINE WAY
City VERONA
State WI
ZIP 53593
Accounting period End 7
Primary contact name ANGIE SIMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER HOPP
PTO PRESIDENT
510 LONE PINE WAY
VERONA WI 53593

Officer/Director/Trustee Two

MARCIA TENNYSON
PTO VICE PRESIDENT
678 ACADIA WAY
VERONA WI 53593

Officer/Director/Trustee Three

KENSY ROZGA
PTO SECRETARY
826 BASSWOOD AVE
VERONA WI 53593

Officer/Director/Trustee Four

ANGELA SIMON
PTO TREASURER
430 LUCERNE DRIVE
VERONA WI 53593

Officer/Director/Trustee Five

TARA MATTILA
AT LARGE MEMBER
818 MAPLE RD
VERONA WI 53593

Organization’s website COUNTRYVIEWPTO.ORG
Organization’s email BOARD@COUNTRYVIEWPTO.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/92
Organization Incorporation State WI
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANGELA SIMON
Signature Title PTO TREASURER
Signature Date 3/15/18

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