FORM 1023-EZ for STAYTON ELEMENTARY PTC

Field Data
EIN 46-1394640
Case Number EO-2015029-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STAYTON ELEMENTARY PTC
Organization’s Mailing Address 875 N 3RD AVE
City STAYTON
State OR
ZIP 97383
Accounting period End 8
Primary contact name SARA TROTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DODI HOLM
CO-PRESIDENT
41550 KINGSTON JORDAN RD
STAYTON OR 97383

Officer/Director/Trustee Two

MEGAN NEWELL
CO-PRESIDENT
1265 N 4TH AVE
STAYTON OR 97383

Officer/Director/Trustee Three

GRADY HARDAGE
VICE PRESIDENT
1525 HUMMINGBIRD LANE
STAYTON OR 97383

Officer/Director/Trustee Four

KARA BUECHNER
SECRETARY
1055 ORCHARD CT
STAYTON OR 97383

Officer/Director/Trustee Five

SARA TROTT
TREASURER
1339 WILSHIRE DR
STAYTON OR 97383

Organization’s website STAYTONPTC.ORG
Organization’s email STAYTONELEMENTARYPTC@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/2014
Organization Incorporation State OR
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 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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