FORM 1023-EZ for BALBOA MIDDLE SCHOOL PARENT TEACHERORGANIZATION

Field Data
EIN 46-5662784
Case Number EO-2014288-000078
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BALBOA MIDDLE SCHOOL PARENT TEACHERORGANIZATION
Organization’s Mailing Address 247 HILL ROAD
City VENTURA
State CA
ZIP 93003
Accounting period End 7
Primary contact name JULIE BERGMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JULIE BERGMAN
PRESIDENT
10898 SUNFLOWER STREET
Ventura CA 93004

Officer/Director/Trustee Two

KIMBERLY MALONE
VP - FUNDRAISING
1679 RED ROCK
VENTURA CA 93004

Officer/Director/Trustee Three

JOLETTE CORBETT
TREASURER
10860 SUNFLOWER STREET
VENTURA CA 93004

Officer/Director/Trustee Four

TERRI DUENAS
VP - MEMBERSHIP
286 BLACKFOOT LANE
VENTURA CA 93001

Officer/Director/Trustee Five

KRIS EDWARDS
SECRETARY
9796 BIG HORN
VENTURA CA 93004

Organization’s website WWW.FACEBOOK.COM/PTOBALBOA
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2014
Organization Incorporation State CA
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 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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