FORM 1023-EZ for DOUGLAS WHITED ELEMENTARY PTO INC

Field Data
EIN 81-4160749
Case Number EO-2017039-000162
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DOUGLAS WHITED ELEMENTARY PTO INC
Organization’s Mailing Address 4995 SONOMA HWY
City SANTA ROSA
State CA
ZIP 95409
Accounting period End 6
Primary contact name EMILY K ASENCIO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMILY ASENCIO
PRESIDENT
4995 SONOMA HWY
SANTA ROSA CA 95409

Officer/Director/Trustee Two

DEANNA OLIVAREZ
VICE-PRESIDENT
4995 SONOMA HWY
SANTA ROSA CA 95409

Officer/Director/Trustee Three

JACKIE ZABATTA
SECRETARY
4995 SONOMA HWY
SANTA ROSA CA 95409

Officer/Director/Trustee Four

AARON ASENCIO
TREASURER
4995 SONOMA HWY
SANTA ROSA CA 95409

Officer/Director/Trustee Five

CHRIS JONES
PARENT REP
4995 SONOMA HWY
SANTA ROSA CA 95409

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2016
Organization Incorporation State CA
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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