FORM 1023-EZ for BUTTEVILLE ELEMENTARY PTO

Field Data
EIN 76-0784119
Case Number EO-2014256-000200
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BUTTEVILLE ELEMENTARY PTO
Organization’s Mailing Address 24512 EDGEWOOD RD
City WEED
State CA
ZIP 96094
Accounting period End 7
Primary contact name AMY DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KACI MASSON
PRESIDENT
5410 HOGAN DRIVE
WEED CA 96094

Officer/Director/Trustee Two

EVA GARCIA-MITCHELL
VICE PRESIDENT
5313 LAKE SHASTINA DRIVE
WEED CA 96094

Officer/Director/Trustee Three

AMY DAVIS
TREASURER
707 SHASTA AVE
WEED CA 96094

Officer/Director/Trustee Four

JENNIFER BLANKENSHIP
SECRETARY
125 CAMINO AVE
WEED CA 96094

Officer/Director/Trustee Five

HUD OATES
DIRECTOR
5648 ANTELOPE WAY
WEED CA 96094

Organization’s website
Organization’s email BUTTEVILLEPTO@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2005
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: No
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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