FORM 1023-EZ for MEADOWLARK ELEMENTARY PARENT TEACHER ORGANIZATION INC

Field Data
EIN 46-5173769
Case Number EO-2014272-000123
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEADOWLARK ELEMENTARY PARENT TEACHER ORGANIZATION INC
Organization’s Mailing Address 1411 N MAIN
City ANDOVER
State KS
ZIP 67002-9593
Accounting period End 6
Primary contact name SHELLY DUNNEGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LESA ALBIN
PRESIDENT
246 S LAKESIDE DR
ANDOVER KS 67002

Officer/Director/Trustee Two

SHELLY DUNNEGAN
VICE PRESIDENT
1502 CHAUMONT CIR
ANDOVER KS 67002

Officer/Director/Trustee Three

KACY COLLINSWORTH
SECRETARY
1902 ASTER
ANDOVER KS 67002

Officer/Director/Trustee Four

WHITNEY WARD
ASST TREASURER
9 N STAGECOACH CT
ANDOVER KS 67002

Officer/Director/Trustee Five

JENNIFER BAKER
TREASURER
15322 E WINDHAM CIR
WICHITA KS 67230

Organization’s website NA
Organization’s email MEADOWLARKPTOUSD385@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2014
Organization Incorporation State KS
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 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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