FORM 1023-EZ for THE CAMPUS PTO

Field Data
EIN 47-3431416
Case Number EO-2015078-000286
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CAMPUS PTO
Organization’s Mailing Address 300 TIVOLI GARDENS
City PEACHTREE CITY
State GA
ZIP 30269
Accounting period End 6
Primary contact name TECIA JANES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HEATHER PATTERSON
PRESIDENT
265 RYANS COURT
SHARPSBURG GA 30277

Officer/Director/Trustee Two

MATT BERGEN
VICE PRESIDENT
103 GRAY PLUM
PEACHTREE CITY GA 30269

Officer/Director/Trustee Three

KELLEN OWENS
VICE PRESIDENT
389 EBENEZER RD
FAYETTEVILLE GA 30214

Officer/Director/Trustee Four

TECIA JANES
TREASURER
68 OAK PARK SQUARE
NEWNAN GA 30265

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2015
Organization Incorporation State GA
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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