FORM 1023-EZ for LARSEN MIDDLE SCHOOL PTO

Field Data
EIN 46-3937711
Case Number EO-2016335-000287
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LARSEN MIDDLE SCHOOL PTO
Organization’s Mailing Address 665 DUNDEE AVE
City ELGIN
State IL
ZIP 60120
Accounting period End 6
Primary contact name DENISE DEGUZMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENISE DEGUZMAN
PRESIDENT
1279 MALLARD LN
HOFFMAN ESTATES IL 60192

Officer/Director/Trustee Two

BETTY MYERS
TREASURER
1350 MALLARD LN
HOFFMAN ESTATES IL 60192

Officer/Director/Trustee Three

EMILY BARTZ
SECRETARY
665 DUNDEE AVE
ELGIN IL 60120

Organization’s website
Organization’s email LARSENPTO@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/1980
Organization Incorporation State IL
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: Yes
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
Signature Title
Signature Date

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