FORM 1023-EZ for SUNNYSIDE PARENT TEACHER ORGANIZATION

Field Data
EIN 42-1079781
Case Number EO-2016005-000095
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUNNYSIDE PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 2040 SUNNYSIDE AVENUE
City BURLINGTON
State IA
ZIP 52601
Accounting period End 7
Primary contact name KELLY AUGUSTINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JESSICA JOHNSON
PRESIDENT
2040 SUNNYSIDE AVE
BURLINGTON IA 52601

Officer/Director/Trustee Two

DARCI PETTIT
VICE-PRESIDENT
2040 SUNNYSIDE AVE
BURLINGTON IA 52601

Officer/Director/Trustee Three

KELLY AUGUSTINE
TREASURER
2040 SUNNYSIDE AVE
BURLINGTON IA 52601

Officer/Director/Trustee Four

LINDI KOBLISKA
SECRETARY
2040 SUNNYSIDE AVE
BURLINGTON IA 52601

Organization’s website WWW.BURLINGTON.K12.IA.US/SHOWSCHOOLPAGESE.ASPX
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/1976
Organization Incorporation State IA
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: No
Religious: No
Educational: Yes
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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