FORM 1023-EZ for SUFFIELD ELEMENTARY PTA

Field Data
EIN 23-7256968
Case Number EO-2017111-000231
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUFFIELD ELEMENTARY PTA
Organization’s Mailing Address 1128 WATERLOO RD
City MOGADORE
State OH
ZIP 44260
Accounting period End 6
Primary contact name LORI SAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI SAMS
PRESIDENT
1175 INGLEWOOD AVE
MOGADORE OH 44260

Officer/Director/Trustee Two

KELLI MENSCH
VICE PRESIDENT
641 OLD FORGE RD
KENT OH 44240

Officer/Director/Trustee Three

AMANDA ROBERTS
TREASURER
1707 CONGRESS LAKE RD
MOGADORE OH 44260

Organization’s website
Organization’s email SUFFIELDPTA@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2000
Organization Incorporation State OH
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: 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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