FORM 1023-EZ for JEFFERSON COMMUNITY COUNCIL PARENTTEACHER ORGANIZATION

Field Data
EIN 45-4000216
Case Number EO-2019269-000097
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEFFERSON COMMUNITY COUNCIL PARENTTEACHER ORGANIZATION
Organization’s Mailing Address 26555 WESTFIELD
City REDFORD
State MI
ZIP 48239-1844
Accounting period End 8
Primary contact name EMILY MOULTRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIE SHUST
PRESIDENT/CHAIRPERSON
8912 SEMINOLE
REDFORD MI 48239-2324

Officer/Director/Trustee Two

LINDA HARRIS
VICE PRESIDENT
11432 SIOUX
REDFORD MI 48239-2372

Officer/Director/Trustee Three

RENNELL WELCH
SECRETARY
8991 LUCERNE
REDFORD MI 48239-1868

Officer/Director/Trustee Four

EMILY MOULTRY
TREASURER
9927 TECUMSEH
REDFORD MI 48239-2226

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/13
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: Yes
Religious: No
Educational: No
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 EMILY MOULTRY
Signature Title TREASURER
Signature Date 9/24/19
EIN 45-4000216
Case Number EO-2019269-000097
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEFFERSON COMMUNITY COUNCIL PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 26555 WESTFIELD
City REDFORD
State MI
ZIP 48239-1844
Accounting period End 8
Primary contact name EMILY MOULTRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIE SHUST
PRESIDENT/CHAIRPERSON
8912 SEMINOLE
REDFORD MI 48239-2324

Officer/Director/Trustee Two

LINDA HARRIS
VICE PRESIDENT
11432 SIOUX
REDFORD MI 48239-2372

Officer/Director/Trustee Three

RENNELL WELCH
SECRETARY
8991 LUCERNE
REDFORD MI 48239-1868

Officer/Director/Trustee Four

EMILY MOULTRY
TREASURER
9927 TECUMSEH
REDFORD MI 48239-2226

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/13
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: Yes
Religious: No
Educational: No
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 EMILY MOULTRY
Signature Title TREASURER
Signature Date 9/24/19

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