FORM 1023-EZ for SANTA CLARA ELEMENTARY PARENT TEACHER ORGANIZATION

Field Data
EIN 47-3764137
Case Number EO-2015006-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SANTA CLARA ELEMENTARY PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 20030 EAST TELEGRAPH ROAD
City SANTA PAULA
State CA
ZIP 93060-9691
Accounting period End 6
Primary contact name LARISSA NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AMBER MCCALISTER
PRESIDENT
1286 BOOSEY RD
SANTA PAULA CA 93060-9605

Officer/Director/Trustee Two

KIM WILSON
VICE PRESIDENT
461 ARBORWOOD ST
FILLMORE CA 93015-2179

Officer/Director/Trustee Three

KYLIE IBARRA
SECRETARY
751 ERNEST DR
SANTA PAULA CA 93060-1410

Officer/Director/Trustee Four

KAYLA DUNBAR
TREASURER
976 ARRASMITH LANE
FILLMORE CA 93015-1129

Officer/Director/Trustee Five

KARI SKIDMORE
BOARD MEMBER/PRINCIPAL
5159 CORTE VISTORA
CAMARILLO CA 93012-5562

Organization’s website
Organization’s email LARISSAMAY@SBCGLOBAL.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2014
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: 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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