FORM 1023-EZ for MYERS WILKINS PARENT STAFF ADVISORYCOUNCIL PTA

Field Data
EIN 47-3498017
Case Number EO-2015222-000347
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MYERS WILKINS PARENT STAFF ADVISORYCOUNCIL PTA
Organization’s Mailing Address 1027 N 8TH AVE E
City DULUTH
State MN
ZIP 55805
Accounting period End 6
Primary contact name JUDITH JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHANNON REBROOK
PRESIDENT
1027 N 8TH AVE E
DULUTH MN 55805

Officer/Director/Trustee Two

JUDITH JOHNSON
VICE PRESIDENT
1027 N 8TH AVE E
DULUTH MN 55805

Officer/Director/Trustee Three

AVESA ROCKWELL
SECRETARY
1027 N 8TH AVE E
DULUTH MN 55805

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/2014
Organization Incorporation State MN
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 Yes
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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