FORM 1023-EZ for SACKETS HARBOR CENTRAL SCHOOL PARENT TEACHER ORGANIZATION

Field Data
EIN 27-3423366
Case Number EO-2015176-000351
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SACKETS HARBOR CENTRAL SCHOOL PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 215 SOUTH BROAD STREET
City SACKETS HARBOR
State NY
ZIP 13685
Accounting period End 6
Primary contact name BRENDA M JOCK DEROUIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRENDA JOCK DEROUIN
PRESIDENT
14702 MILITARY ROAD
SACKETS HARBOR NY 13685-2162

Officer/Director/Trustee Two

CRAIG FOX
VICE PRESIDENT
250 GENERAL GRANT CIRCLE
SACKETS HARBOR NY 13685

Officer/Director/Trustee Three

DARCIE WARD
TREASURER
214 SOUTH BROAD STREET
SACKETS HARBOR NY 13685-0553

Officer/Director/Trustee Four

KATHLEEN MCKEEVER
SECRETARY
121 MILL CREEK LANE
SACKETS HARBOR NY 13685-9705

Officer/Director/Trustee Five

AMANDA GENESKI
CORRESPONDING SECRETARY
19536 STATE ROUTE 3
WATERTOWN NY 13601-5504

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/2012
Organization Incorporation State NY
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 Yes
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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