FORM 1023-EZ for NORTH PROVIDENCE PTO GROUP

Field Data
EIN 83-1859500
Case Number EO-2019301-000508
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH PROVIDENCE PTO GROUP
Organization’s Mailing Address 41 ANGELL AVENUE
City NORTH PROVIDENCE
State RI
ZIP 2911
Accounting period End 4
Primary contact name AMY CARROLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY CARROLL
PRESIDENT
37 MARIGOLD CIRCLE
NORTH PROVIDENCE RI 2904

Officer/Director/Trustee Two

TAMMY LAMOUNTAIN
VICE PRESIDENT
122 DUTCHESS AVENUE
NORTH PROVIDENCE RI 2904

Officer/Director/Trustee Three

CHARLENE SMITH
DIRECTOR
23 COOPER ST
North Providence RI

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/18
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 AMY CARROLL
Signature Title PRESIDENT
Signature Date 10/24/19

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