FORM 1023-EZ for MARK TWAIN ELEMENTARY PARENT TEACHER ORGANIZATION

Field Data
EIN 42-1357072
Case Number EO-2014265-000415
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARK TWAIN ELEMENTARY PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 1355 DEFOREST AVE
City IOWA CITY
State IA
ZIP 52240
Accounting period End 6
Primary contact name DIANE BERWALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DIANE BERWALD
PAST PRESIDENT
1035 DIANA ST
IOWA CITY IA 52240

Officer/Director/Trustee Two

ULRIKE CARLSON
PRESIDENT
1305 YEWELL AVE
IOWA CITY IA 52240

Officer/Director/Trustee Three

CANDACE SCHEBEL
VICE PRESIDENT
1125 APPLE CT
IOWA CITY IA 52240

Officer/Director/Trustee Four

ERIC JOHNSON
DPO REPRESENTATIVE
1630 RIDGE ST
IOWA CITY IA 52240

Officer/Director/Trustee Five

CORTLAND BERWALD
TREASURER
1035 DIANA ST
IOWA CITY IA 52240

Organization’s website HTTP://WWW.EDLINE.NET/PAGES/MARK_TWAIN_ES
Organization’s email MARKTWAINELEMENTARYPTO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/2014
Organization Incorporation State IA
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 Yes
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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