FORM 1023-EZ for AMELIA V CARRIEL PARENT TEACHER ORGANIZATION

Field Data
EIN 80-0413784
Case Number EO-2021085-001491
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMELIA V CARRIEL PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 451 N SEVEN HILLS ROAD
City O FALLON
State IL
ZIP 62269
Accounting period End 6
Primary contact name SAMANTHA ROSSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZACHARY MAIS
PTO PRESIDENT
451 N SEVEN HILLS RD
O FALLON IL 62269

Officer/Director/Trustee Two

KRISTAL BAFFA
PTO VICE PRESIDENT
451 N SEVEN HILLS RD
O FALLON IL 62269

Officer/Director/Trustee Three

ELIZABETH LOWN
PTO SECRETARY
451 N SEVEN HILLS RD
O FALLON IL 62269

Officer/Director/Trustee Four

SAMANTHA ROSSON
PTO TREASURER
451 N SEVEN HILLS RD
O FALLON IL 62269

Organization’s website
Organization’s email CARRIELJHPTO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2009
Organization Incorporation State IL
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 Yes
Correctness Declaration Yes
Signature Name SAMANTHA ROSSON
Signature Title PTO TREASURER
Signature Date 2/8/2021

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