FORM 1023-EZ for MADISON JR HIGH SCHOOL PTO

Field Data
EIN 20-4346749
Case Number EO-2017320-000290
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MADISON JR HIGH SCHOOL PTO
Organization’s Mailing Address 134 MADISON AVE
City REXBURG
State ID
ZIP 83440
Accounting period End 12
Primary contact name SUSAN ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI CARDON
PTO PRESIDENT
2233 FERRIS LANE
REXBURG ID 83440

Officer/Director/Trustee Two

SUSAN ALLEN
PTO TREASURER
646 DELL DRIVE
REXBURG ID 83440

Officer/Director/Trustee Three

CHRISTINA HANSEN
PTO SECRETARY
288 NEZ PERCE AVE
REXBURG ID 83440

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2006
Organization Incorporation State ID
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: 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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