FORM 1023-EZ for HAGEN ROAD ELEMENTARY PTA

Field Data
EIN 59-2834927
Case Number EO-2014338-000324
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAGEN ROAD ELEMENTARY PTA
Organization’s Mailing Address 10565 HAGEN RANCH ROAD
City BOYNTON BEACH
State FL
ZIP 33437
Accounting period End 6
Primary contact name DESIREE MIRANDA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DESIREE MIRANDA
PRESIDENT
10161 WHITE WATER LILY WAY
BOYNTON BEACH FL 33437

Officer/Director/Trustee Two

TIFFANY GNISCI
SECRETARY
10584 COCOBOLO WAY
BOYNTON BEACH FL 33437

Officer/Director/Trustee Three

TRACY OLLER
VICE PRESIDENT
7530 SPATTERDOCK DRIVE
BOYNTON BEACH FL 33437

Officer/Director/Trustee Four

AMY WILTSE
VICE PRESIDENT
7425 BRIELLA DRIVE
BOYNTON BEACH FL 33437

Organization’s website
Organization’s email HAGENROAD.PTA@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/1984
Organization Incorporation State FL
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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