FORM 1023-EZ for LOPEZ ISLAND PTSA 8-2-100

Field Data
EIN 84-4575637
Case Number EO-2020092-000099
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOPEZ ISLAND PTSA 8-2-100
Organization’s Mailing Address 15 OREGON AVES SUITE 202
City TACOMA
State WA
ZIP 98409-7463
Accounting period End 6
Primary contact name CLAUDIA REMPEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SERINA ADAMS
PRESIDENT
5608 CENTER ROAD
LOPEZ ISLAND WA 98261

Officer/Director/Trustee Two

SHEILA WOODINGTON
VICE PRESIDENT
180 SNUG HARBOR
LOPEZ ISLAND WA 98261

Officer/Director/Trustee Three

CLAUDIA REMPEL
TREASURER
256 ELIZA ROAD
LOPEZ ISLAND WA 98261

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2020
Organization Incorporation State WA
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 Yes
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 CLAUDIA REMPEL
Signature Title TREASURER
Signature Date 3/30/2020

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