FORM 1023-EZ for RANDOLPH SOUTHERN ELEMENTARY PTO

Field Data
EIN 46-2586070
Case Number EO-2017242-000501
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RANDOLPH SOUTHERN ELEMENTARY PTO
Organization’s Mailing Address 3 REBEL DRIVE
City LYNN
State IN
ZIP 47355
Accounting period End 6
Primary contact name BRANDON BOWMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDON BOWMAN
TREASURER
2939 W DAVIS MEYERS RD
FOUNTAIN CITY IN 47341

Officer/Director/Trustee Two

MOLLY MORELAND
PRESIDENT
8930 S BASE RD
LYNN IN 47355

Officer/Director/Trustee Three

MELISSA KOSISKO
VICE PRESIDENT
7269 S 350 E
LYNN IN 47355

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2017
Organization Incorporation State IN
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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