FORM 1023-EZ for HARRELSON SCHOOL PTO

Field Data
EIN 47-0945183
Case Number EO-2014311-000350
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARRELSON SCHOOL PTO
Organization’s Mailing Address 143 COUNTRY CLUB DR
City PURYEAR
State TN
ZIP 38251
Accounting period End 12
Primary contact name CHRISTY BOMAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TRACI RAYMER
PRESIDENT
205 TATERTOWN ROAD
PARIS TN 38242

Officer/Director/Trustee Two

TERRY CHURCH
VICE PRESIDENT
2323 HAYES STORE RD
COTTAGE GROVE TN 38224

Officer/Director/Trustee Three

CHRISTY BOMAR
TREASURER
1195 STEWARD RD
PARIS TN 38242

Officer/Director/Trustee Four

SARAH LINDLEY
SECRETARY
1070 HARTSFIELD ROAD
PURYEAR TN 38251

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/2008
Organization Incorporation State TN
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 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
Signature Title
Signature Date

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