FORM 1023-EZ for KING CITY ARTS MAGNET PARENT TEACHER ORGANIZATION

Field Data
EIN 81-1047476
Case Number EO-2016056-000314
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KING CITY ARTS MAGNET PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 415 PEARL ST
City KING CITY
State CA
ZIP 93930
Accounting period End 6
Primary contact name NANCY REYES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMIE JONES
PRESIDENT
46438 LITTLE CREEK CT
KING CITY CA 93930

Officer/Director/Trustee Two

SAMANTHA PRYOR
VICE PRESIDENT
129 KEATS AVE
KING CITY CA 93930

Officer/Director/Trustee Three

NANCY REYES
SECRETARY
46522 CREEKSIDE CIR
KING CA 93930

Officer/Director/Trustee Four

ERIKA HERNANDEZ-RODRIGUEZ
TREASURER
202 VIVIAN ST
KING CITY CA 93930

Officer/Director/Trustee Five

JEANIE DEASY
TEACHER REPRESENTATIVE
46083 MEADOWBROOK DR
KING CITY CA 93930

Organization’s website
Organization’s email PTO.KCAM@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/2015
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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