FORM 1023-EZ for BERKLEY ELEMENTARY PTO

Field Data
EIN 82-4813244
Case Number EO-2018260-000462
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BERKLEY ELEMENTARY PTO
Organization’s Mailing Address 9850 COPPER EDGE ROAD
City LAS VEGAS
State NV
ZIP 89148
Accounting period End 6
Primary contact name KIRK MORTENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE FORCHIONE
PRESIDENT
9637 SATIN BELL CT
LAS VEGAS NV 89148

Officer/Director/Trustee Two

KIRK MORTENSON
DIRECTOR / VP
9534 VAST VALLEY AVE
LAS VEGAS NV 89148

Officer/Director/Trustee Three

TERRI MORTENSON
TREASURE
9534 VAST VALLEY AVE
LAS VEGAS NV 89148

Officer/Director/Trustee Four

VICTORIA SADIKI
RECORDING SECRETARY
9733 BONANZA CREEK AVE
LAS VEGAS NV 89148

Officer/Director/Trustee Five

SHELLEY DOMINGUEZ
CORRESPONDING SECRETARY
10090 CLAVERTON CT
LAS VEGAS NV 89148

Organization’s website N/A
Organization’s email BERKLEYPTO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/18
Organization Incorporation State NV
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 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 KIRK MORTENSON
Signature Title DIRECTOR / VP
Signature Date 9/13/18

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