FORM 1023-EZ for BELLPORT HIGH SCHOOL PTSA

Field Data
EIN 11-3296285
Case Number EO-2015320-000179
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELLPORT HIGH SCHOOL PTSA
Organization’s Mailing Address 205 BEAVER DAM ROAD
City BROOKHAVEN
State NY
ZIP 11719-9707
Accounting period End 6
Primary contact name PATRICIA PORSCHE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHEN PARKER
PRESIDENT
37 CAMILLE LANE
EAST PATCHOGUE NY 11772-4532

Officer/Director/Trustee Two

PATRICIA PORSCHE
TREASURER
18 CHRISTINE LANE
YAPHANK NY 11980-1210

Officer/Director/Trustee Three

DAWN PARKER
SECRETARY
37 CAMILLE LANE
EAST PATCHOGUE NY 11772-4532

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/1996
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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