FORM 1023-EZ for FARMERSVILLE PARENT TEACHER ORGANIZATION

Field Data
EIN 35-1807639
Case Number EO-2016165-000275
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FARMERSVILLE PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 4065 HIGHWAY 69 S
City MOUNT VERNON
State IN
ZIP 47620
Accounting period End 6
Primary contact name DEBORAH ISHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELYSIA ISHAM
OFFICER
1231 OLD PLANK ROAD
NEW HARMONY IN 47631

Officer/Director/Trustee Two

JAMIE BOURNE
OFFICER
301 AUDUBON DR
MOUNT VERNON NC 47620

Officer/Director/Trustee Three

DEBORAH ISHAM
OFFICER
4350 CUMBERLAND COURT
MOUNT VERNON IN 47620

Officer/Director/Trustee Four

ELIZABETH JOHNS
PRINCIPAL
4065 HWY 69 S
MOUNT VERNON IN 47620

Organization’s website
Organization’s email ISHAMDG@MVSCHOOL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2016
Organization Incorporation State IN
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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