FORM 1023-EZ for SHENANDOAH PTO

Field Data
EIN 31-1616710
Case Number EO-2019226-000250
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHENANDOAH PTO
Organization’s Mailing Address 20977 ZEP RD EAST
City SARAHSVILLE
State OH
ZIP 43779
Accounting period End 6
Primary contact name CHAD MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CANDI ATKINSON
PRESIDENT
18424 WOLF RUN RD
CALDWELL OH 43724

Officer/Director/Trustee Two

CALI NICKELL
VICE PRESIDENT
622 EAST CROSS ST
SUMMERFIELD OH 43788

Officer/Director/Trustee Three

HEATHER PISKULA
TREASURER
22960 FREDERICKSDALE RD
SARAHSVILLE OH 43779

Officer/Director/Trustee Four

ERICA WUKELICH
SECRETARY
227 MAIN ST
BELLE VALLEY OH 43717

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/09
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: 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name CALI NICKELL
Signature Title VICE PRESIDENT
Signature Date 8/9/19

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