FORM 1023-EZ for WILLOWS INTERMEDIATE SCHOOL PARENT TEACHER ORGANIZATION

Field Data
EIN 81-4152258
Case Number EO-2017292-000342
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILLOWS INTERMEDIATE SCHOOL PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 1145 W CEDAR ST
City WILLOWS
State CA
ZIP 95988
Accounting period End 12
Primary contact name COREY RICHARDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COREY RICHARDS
PRESIDENT
3026 HIGHWAY 45
GLENN CA 95943

Officer/Director/Trustee Two

STACY LANZI
VICE PRESIDENT
PO BOX 105
ARTOIS CA 95913

Officer/Director/Trustee Three

MONICA THROM
SECRETARTY
6407 COUNTY ROAD 48
WILLOWS CA 95988

Officer/Director/Trustee Four

CHRISTINA OCAMPO
TREASURER
820 APPLEWOOD WAY
WILLOWS CA 95988

Organization’s website
Organization’s email PTO4WIS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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