FORM 1023-EZ for RUMSEY STATION PTO

Field Data
EIN 81-4935400
Case Number EO-2017223-000091
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RUMSEY STATION PTO
Organization’s Mailing Address 110 EAGLE RIDGE DR
City PAPILLION
State NE
ZIP 68133
Accounting period End 6
Primary contact name KRISTI WASZAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DESIREE SUPPES
PRESIDENT
127 CASTLE PINE DR
PAPILLION NE 68133

Officer/Director/Trustee Two

ASHLEIGH RIDER
VICE PRESIDENT
2122 CHRISTINE ST
PAPILLION NE 68133

Officer/Director/Trustee Three

RHONDA CULBERTSON
SECRETARY
2703 JOHN ST
PAPILLION NE 68133

Officer/Director/Trustee Four

KRISTI WASZAK
TREASURER
2011 LIBERTY LN
PAPILLION NE 68133

Organization’s website HTTPS://WWW.PLCSCHOOLS.ORG/DOMAIN/149
Organization’s email RUMSEYSTATIONPTO@PAPLV.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/2017
Organization Incorporation State NE
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: 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
Signature Title
Signature Date

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