FORM 1023-EZ for WACO PTO

Field Data
EIN 81-2858174
Case Number EO-2016161-000351
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WACO PTO
Organization’s Mailing Address PO BOX 231
City COLUMBUS JUNCTION
State IA
ZIP 52738
Accounting period End 6
Primary contact name JEANNE DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RACHEL MEYER
PRESIDENT
319 W CLARK STREET
WAYLAND IA 52654

Officer/Director/Trustee Two

JAMIE DOWIS
VP
1012 GRAHAM AVE
MT PLEASANT IA 52641

Officer/Director/Trustee Three

RISA KAUFMAN
SEC
1311 DAKOTA AVE
WAYLAND IA 52654

Officer/Director/Trustee Four

MICHELLE MEYER
TREAS
1411 BENTON AVE
WAYLAND IA 52654

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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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