FORM 1023-EZ for GLENFORD ELEMENTARY SCHOOL PARENT TEACHER ORGANIZATION

Field Data
EIN 32-0586890
Case Number EO-2019086-000638
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GLENFORD ELEMENTARY SCHOOL PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 128 E HIGH ST
City GLENFORD
State OH
ZIP 43739-9746
Accounting period End 6
Primary contact name BRYAN BUSHONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA HOLMAN
PRESIDENT
4425 HIGH POINT RD
GLENFORD OH 43739

Officer/Director/Trustee Two

KELLI POLING
VICE PRESIDENT
5405 TOWNSHIP RD 19
GLENFORD OH 43739

Officer/Director/Trustee Three

BRYAN BUSHONG
TREASURER
13123 CHURCH ST
MOUNT PERRY OH 43760

Officer/Director/Trustee Four

SARAH SHEGOG
VOLUNTEER COORDINATOR
5285 TOWNSHIP RD 19
GLENFORD OH 43739

Officer/Director/Trustee Five

AMBER BLACKWELL
SECRETARY
5899 TOWNSHIP RD 19
GLENFORD OH 43739

Organization’s website
Organization’s email PTO.GLENFORD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/18
Organization Incorporation State OH
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: No
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 BRYAN BUSHONG
Signature Title TREASURER
Signature Date 3/25/19

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