FORM 1023-EZ for JAN JONES BLACKHURST PTO

Field Data
EIN 84-2570307
Case Number EO-2019261-000034
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAN JONES BLACKHURST PTO
Organization’s Mailing Address 11141 S PIONEER WAY
City LAS VEGAS
State NV
ZIP 89179
Accounting period End 8
Primary contact name CAREY ROGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TARYN GAYNOR
PRESIDENT
7233 PEPPERBOX AVE
LAS VEGAS NV 89179

Officer/Director/Trustee Two

CHRISTINA VOTIPKA
VICE PRESIDENT
7406 COBBHAN DR
LAS VEGAS NV 89179

Officer/Director/Trustee Three

TRICIA ANN DUFFY
SECRETARY
7464 BENLOMOND
LAS VEGAS NV 89179

Officer/Director/Trustee Four

CAREY ROGERS
TREASURER
10233 RANCHO DESTINO
LAS VEGAS NV 89183

Officer/Director/Trustee Five

ERINN ADLER
MEMBER
10638 TAMARUGA CT
LAS VEGAS NV 89179

Organization’s website
Organization’s email BLACKHURSTPTO1920@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/19
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CAREY ROGERS
Signature Title TREASURER
Signature Date 9/15/19

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