FORM 1023-EZ for SIEBERT ELEMENTARY SCHOOL PARENTS TEACHERS ORGANIZATION

Field Data
EIN 38-2339349
Case Number EO-2016127-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIEBERT ELEMENTARY SCHOOL PARENTS TEACHERS ORGANIZATION
Organization’s Mailing Address 5700 SIEBERT ST
City MIDLAND
State MI
ZIP 48640
Accounting period End 6
Primary contact name JAMIE HAAG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AUDREY BUCK
PRESIDENT
3684 ACORN LANE
MIDLAND MI 48642

Officer/Director/Trustee Two

LORI CHRISTIANSEN
VICE PRESIDENT
2979 N BANYAN CT
MIDLAND MI 48642

Officer/Director/Trustee Three

JAMIE HAAG
TREASURER
6104 WOODPARK DR
MIDLAND MI 48640

Officer/Director/Trustee Four

HEIDI LEIGEB
SECRETARY
4015 E BAKER
MIDLAND MI 48642

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/1999
Organization Incorporation State MI
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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