FORM 1023-EZ for JEFFERSON ELEMENTARY SCHOOL PARENTSAND TEACHERS TOGETHER

Field Data
EIN 81-5083418
Case Number EO-2017026-000206
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEFFERSON ELEMENTARY SCHOOL PARENTSAND TEACHERS TOGETHER
Organization’s Mailing Address 586 N MAIN ST
City RICHLAND CTR
State WI
ZIP 53581
Accounting period End 5
Primary contact name SARAH ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOANN COOLEY
PRESIDENT
19975 COUNTY HIGHWAY SR
RICHLAND CENTER WI 53581-6567

Officer/Director/Trustee Two

SARAH ANDERSON
VICE PRESIDENT
933 N CENTRAL AVE
RICHLAND CENTER WI 53581

Officer/Director/Trustee Three

CHALISE MAKI
TREASURER
16265 COULTER HILL RD
VIOLA WI 54664

Officer/Director/Trustee Four

HEATHER CLEMENTS
SECRETARY
415 LEONA AVE
RICHLAND CENTER WI 53581

Officer/Director/Trustee Five

KARI NELSON
CO-SECRETARY
337 E HASELTINE ST
RICHLAND CENTER WI 53581

Organization’s website
Organization’s email RCJEFFERSONPATT@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2017
Organization Incorporation State WI
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 Yes
One Third Support Gifts No
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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