FORM 1023-EZ for PTA MINNESOTA CONGRESS DBA RIVERSIDE CENTRAL PTSA ROCHESTER

Field Data
EIN 41-2019727
Case Number EO-2015322-000349
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PTA MINNESOTA CONGRESS DBA RIVERSIDE CENTRAL PTSA ROCHESTER
Organization’s Mailing Address 506 5TH AVE SE
City ROCHESTER
State MN
ZIP 55904-4817
Accounting period End 12
Primary contact name PAMELA BURCHILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHAUNA HIRSCH
PRESIDENT
2592 LISA LN NE
ROCHESTER MN 55906

Officer/Director/Trustee Two

PAMELA BURCHILL
TREASURER
3585 BRIDGEVIEW DR SE
ROCHESTER MN 55904

Officer/Director/Trustee Three

STACY PRONGA
VICE PRESIDENT
3826 STRATHMORE LANE SE
ROCHESTER MN 55904

Officer/Director/Trustee Four

JODY PETERSON
SECRETARY
506 5TH AVE SE
ROCHESTER MN 55904-4817

Officer/Director/Trustee Five

JOY ROBISON
MEMBERSHIP/COMMUNICATION
2695 RIVERSIDE LANE NE
ROCHESTER MN 55906

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/2001
Organization Incorporation State MN
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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