FORM 1023-EZ for PEMBROKE PINES CHARTER HIGH SCHOOLPTSA

Field Data
EIN 20-5886877
Case Number EO-2019070-000314
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEMBROKE PINES CHARTER HIGH SCHOOLPTSA
Organization’s Mailing Address 17038 NW 19 ST
City PEMBROKE PINES
State FL
ZIP 33028
Accounting period End 6
Primary contact name DEBBIE CILLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBBIE CILLI
PRESIDENT
17308 NW 19 ST
PEMBROKE PINES FL 33028

Officer/Director/Trustee Two

HOLLY POORE
TREASURER
741 SW 173 LANE
PEMBROKE PINES FL 33028

Officer/Director/Trustee Three

HEATHER VARNADOE
VICE PRESIDENT
565 SW 198 TERRACE
PEMBROKE PINES FL 33029

Officer/Director/Trustee Four

SANDY ANDRISANI
RECORDING SECRETARY
1006 NW 180 AVE
PEMBROKE PINES FL 33029

Officer/Director/Trustee Five

RICK RAYMOND
VICE PRESIDENT
17189 SHERIDAN ST
PEMBROKE PINES FL 33029

Organization’s website
Organization’s email DEBBIECILLI@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/25/02
Organization Incorporation State FL
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name DEBBIE CILLI
Signature Title PTSA PRESIDENT
Signature Date 3/8/19
EIN 20-5886877
Case Number EO-2019070-000314
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEMBROKE PINES CHARTER HIGH SCHOOL PTSA
Organization’s Mailing Address 17038 NW 19 ST
City PEMBROKE PINES
State FL
ZIP 33028
Accounting period End 6
Primary contact name DEBBIE CILLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBBIE CILLI
PRESIDENT
17308 NW 19 ST
PEMBROKE PINES FL 33028

Officer/Director/Trustee Two

HOLLY POORE
TREASURER
741 SW 173 LANE
PEMBROKE PINES FL 33028

Officer/Director/Trustee Three

HEATHER VARNADOE
VICE PRESIDENT
565 SW 198 TERRACE
PEMBROKE PINES FL 33029

Officer/Director/Trustee Four

SANDY ANDRISANI
RECORDING SECRETARY
1006 NW 180 AVE
PEMBROKE PINES FL 33029

Officer/Director/Trustee Five

RICK RAYMOND
VICE PRESIDENT
17189 SHERIDAN ST
PEMBROKE PINES FL 33029

Organization’s website
Organization’s email DEBBIECILLI@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/25/02
Organization Incorporation State FL
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name DEBBIE CILLI
Signature Title PTSA PRESIDENT
Signature Date 3/8/19

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