FORM 1023-EZ for JEFFERSON ELEMENTARY SCHOOL PTO-FARIBAULT

Field Data
EIN 81-3078180
Case Number EO-2016293-000328
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEFFERSON ELEMENTARY SCHOOL PTO-FARIBAULT
Organization’s Mailing Address 1304 BRENTWOOD CIRCLE
City FARIBAULT
State MN
ZIP 55021
Accounting period End 12
Primary contact name AMY KRAMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY KRAMER
CO-PRESIDENT
1304 BRENTWOOD CIRCLE
FARIBAULT MN 55021

Officer/Director/Trustee Two

KRISTA COX
CO-PRESIDENT
1313 BRENTWOOR CIRCLE
FARIBAULT MN 55021

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/2016
Organization Incorporation State MN
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 No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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