FORM 1023-EZ for LUCASVILLE VALLEY ELEMENTARY SCHOOLPTO

Field Data
EIN 46-1033736
Case Number EO-2014363-000131
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LUCASVILLE VALLEY ELEMENTARY SCHOOLPTO
Organization’s Mailing Address 1821 A STATE ROUTE 728
City LUCASVILLE
State OH
ZIP 45648
Accounting period End 6
Primary contact name RANDAL ADAMS-CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SARAH ERWIN
PRESIDENT
PO BOX 502
LUCASVILLE OH 45648

Officer/Director/Trustee Two

REBECCA BUCKLER
VICE PRESIDENT
2498 SEDAN CRABTREE ROAD
LUCASVILLE OH 45648

Officer/Director/Trustee Three

CRYSTAL WEBB
SECRETARY
17082 STATE ROUTE 348
LUCASVILLE OH 45648

Officer/Director/Trustee Four

BONNIE SMITH
TREASURER
PO BOX 1432
LUCASVILLE OH 45648

Organization’s website WWW.VALLEYINDIANS.NET
Organization’s email RADAMS@ADAMSTOPE.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/2012
Organization Incorporation State OH
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 Yes
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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