FORM 1023-EZ for PARENT INFORMATION EXCHANGE

Field Data
EIN 84-4692593
Case Number EO-2020052-000141
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PARENT INFORMATION EXCHANGE
Organization’s Mailing Address 1040 OWASCO RD
City WEST HEMPSTEAD
State NY
ZIP 11552
Accounting period End 12
Primary contact name GLENDA MOMRELLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GLENDA MOMRELLE
COO
1040 OWASCO RD
WEST HEMPSTEAD NY 11552

Officer/Director/Trustee Two

KARLA MASON-MORRISON
CFO
222 NORTH WASHINGTON AVE
CENTERREACH NY 11720

Officer/Director/Trustee Three

PATRICIA ADAMS
CHAIRPERSON
24 BERT AVE
WESTBURY NY 11590

Officer/Director/Trustee Four

MARSHA JOSEPH
VOTING MEMBER
241-21 148TH DRIVE
ROSEDALE NY 11422

Officer/Director/Trustee Five

ANDREW CLARKE
VOTING MEMBER
1040 OWASCO RD
WEST HEMPSTEAD NY 11552

Organization’s website N/A
Organization’s email GLENDA.MOMRELLE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P11 - Single Organization Support
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 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 GLENDA MOMRELLE
Signature Title COO
Signature Date 2/19/2020

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