FORM 1023-EZ for LEWISBURG HIGH SCHOOL PTO

Field Data
EIN 86-1549583
Case Number EO-2021119-000277
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEWISBURG HIGH SCHOOL PTO
Organization’s Mailing Address 1755 CRAFT ROAD
City OLIVE BRANCH
State MS
ZIP 38654
Accounting period End 6
Primary contact name MELINDA POTTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELINDA POTTS
PRESIDENT
8120 LAKE VIEW DR
OLIVE BRANCH MS 38654

Officer/Director/Trustee Two

LISA LOTT
VICE PRESIDENT
702 CRAFT ROAD SOUTH
HERNANDO MS 38611

Officer/Director/Trustee Three

TAMMIE MILLER
TREASURER
453 BYHALIA CREEK FARMS ROAD
BYHALIA MS 38611

Organization’s website
Organization’s email LEWISBURGHIGHPTO@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/2021
Organization Incorporation State MS
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 MELINDA POTTS
Signature Title PRESIDENT
Signature Date 4/27/2021

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