FORM 1023-EZ for PTO CLARKSVILLE INC

Field Data
EIN 82-1347911
Case Number EO-2018239-000473
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PTO CLARKSVILLE INC
Organization’s Mailing Address 700 N RANDOLPH AVE
City CLARKSVILLE
State IN
ZIP 47129
Accounting period End 6
Primary contact name EMILY HERRING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY MADDEN
PRESIDENT
1627 MCTAVISH DR
CLARKSVILLE IN 47129

Officer/Director/Trustee Two

MARY VINCENT
VICE PRESIDENT
1725 TENNYSON DRIVE
CLARKSVILLE IN 47129

Officer/Director/Trustee Three

JACKIE FOSNOT
SECRETARY
208 PONDER WAY
CLARKSVILLE IN 47129

Officer/Director/Trustee Four

CANDI USELTON
COMMUNICATIONS SECRETARY
107 W BOWNE BLVD
CLARKSVILLE IN 47129

Officer/Director/Trustee Five

LINDSAY FOWLER
TREASURER
1419 BLACKISTON VIEW DR
CLARKSVILLE IN 47129

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/17
Organization Incorporation State IN
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 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 LINDSAY FOWLER
Signature Title TREASURER
Signature Date 8/23/18

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