FORM 1023-EZ for ACHILLES ELEMENTARY PTO

Field Data
EIN 47-1190512
Case Number EO-2014289-000256
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ACHILLES ELEMENTARY PTO
Organization’s Mailing Address 9306 GUINEA ROAD
City HAYES
State VA
ZIP 23072
Accounting period End 6
Primary contact name SHANNON DISHMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHANNON DISHMAN
PRESIDENT
1950 SARAHS CREEK ROAD
HAYES VA 23072

Officer/Director/Trustee Two

BETH WARREN
VICE PRESIDENT
2126 NICOLE DRIVE
HAYES VA 23072

Officer/Director/Trustee Three

HEIDI GREEN-WARREN
SECRETARY
3267 KINGS CREEK ROAD
HAYES VA 23072

Officer/Director/Trustee Four

KATHRYN LINDSAY
TREASURER
6536 POWHATAN DRIVE
HAYES VA 23072

Officer/Director/Trustee Five

STACIE MARTIN
SPIRIT NIGHT COORDINATOR
1707 SHANE ROAD
HAYES VA 23072

Organization’s website
Organization’s email ACHILLESPTO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/2014
Organization Incorporation State VA
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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