FORM 1023-EZ for CENTRAL PARENT TEACHER ORGANIZATION

Field Data
EIN 46-0911519
Case Number EO-2019284-000362
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTRAL PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 5610 2ND AVE
City FERNDALE
State WA
ZIP 98248
Accounting period End 12
Primary contact name ELIZABETH BLAKLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOLLY SIMON
CO-PRESIDENT
5610
FERNDALE WA 98248

Officer/Director/Trustee Two

ELIZABETH BLAKLEY
TREASURER
5610 2ND AVE
FERNDALE WA 98248

Officer/Director/Trustee Three

MELODY PLUMP
SECRETARY
5610 2ND AVE
FERNDALE WA 98248

Officer/Director/Trustee Four

JESSICA DOWREY
VOLUNTEER COORDINATOR
5610 2ND AVE
FERNDALE WA 98248

Officer/Director/Trustee Five

CHELSEA BRIONEZ
ENRICHMENT COORDINATOR
5610 2ND AVE
FERNDALE WA 98248

Organization’s website HTTP://CENTRALELEMENTARY.MY-PTO.ORG
Organization’s email CENTRALPANTHERSPTO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/14
Organization Incorporation State WA
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ELIZABETH BLAKLEY
Signature Title TREASURER
Signature Date 10/8/19
EIN 46-0911519
Case Number EO-2014307-000216
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTRAL PARENT TEACHER ORGANIZATION
Organization’s Mailing Address PO BOX 187
City FERNDALE
State WA
ZIP 98248
Accounting period End 12
Primary contact name PATRICE VALENTINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICE VALENTINE
DIRECTOR
PO BOX 187
FERNDALE WA 98248

Officer/Director/Trustee Two

KAREN TESHERA
CO-PRESIDENT
PO BOX 187
FERNDALE WA 98248

Officer/Director/Trustee Three

ELIZABETH BLAKELEY
CO-PRESIDENT
PO BOX 187
FERNDALE WA 98248

Officer/Director/Trustee Four

AMANDA HEUCK
SECRETARY
PO BOX 187
FERNDALE WA 98248

Officer/Director/Trustee Five

NICOLE HEINRICH
TREASURER
PO BOX 187
FERNDALE WA 98248

Organization’s website WWW.PTOCENTRALELEMENTARY.COM
Organization’s email CONNECT@PTOCENTRALELEMENTARY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/2014
Organization Incorporation State WA
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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