FORM 1023-EZ for MARION MIX PTO

Field Data
EIN 47-5513970
Case Number EO-2016279-000218
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARION MIX PTO
Organization’s Mailing Address 4730 LAGUNA PARK DR
City ELK GROVE
State CA
ZIP 95758
Accounting period End 12
Primary contact name BROOKE FLORES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUPE ALONZO-DIAZ
PRESIDENT
4730 LAGUNA PARK DR
ELK GROVE CA 95758

Officer/Director/Trustee Two

LAURA WADE
SECRETARY
4730 LAGUNA PARK DR
ELK GROVE CA 95758

Officer/Director/Trustee Three

CRYSTAL NEEVES
TRESURER
4730 LAGUNA PARK DR
ELK GROVE CA 95758

Officer/Director/Trustee Four

MEGAN SMITH
VP OF FUNDRAISING
4730 LAGUNA PARK DR
ELK GROVE CA 95758

Officer/Director/Trustee Five

BROOKE FLORES
VP OF PROGRAMS
4730 LAGUNA PARK DR
ELK GROVE CA 95758

Organization’s website MIXPTO.DIGITALPTO.COM
Organization’s email MARIONMIXPTO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2016
Organization Incorporation State CA
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
Signature Title
Signature Date

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