FORM 1023-EZ for LILJA SCHOOL PTO

Field Data
EIN 46-3570676
Case Number EO-2016258-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LILJA SCHOOL PTO
Organization’s Mailing Address 41 BACON STREET
City NATICK
State MA
ZIP 01760-2999
Accounting period End 7
Primary contact name JON-PAUL MATYCHAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTINE BLACK
PRESIDENT/DIRECTOR
10 BAY STATE ROAD
NATICK MA 01760

Officer/Director/Trustee Two

ADRIENNE SPELKER
VICE PRESIDENT/DIRECTOR
4 WALCOTT STREET
NATICK MA 01760

Officer/Director/Trustee Three

JON-PAUL MATYCHAK
TREASURER/DIRECTOR
4 RUTLEDGE ROAD
NATICK MA 01760

Officer/Director/Trustee Four

LINSEY EVANS
DIR. OF COMMUNICATIONS/DIRECTOR
15 MACARTHUR ROAD
NATICK MA 01760

Officer/Director/Trustee Five

EMILY DIESL
SECRETARY/DIRECTOR
9 HALSEY WAY
NATICK MA 01760

Organization’s website HTTP://LILJAPTO.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/2016
Organization Incorporation State MA
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 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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