FORM 1023-EZ for MELROSE MINDORO PTO

Field Data
EIN 47-2341329
Case Number EO-2018162-000353
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MELROSE MINDORO PTO
Organization’s Mailing Address N181 STATE ROAD 108
City MELROSE
State WI
ZIP 54642
Accounting period End 12
Primary contact name LINDSAY ROZEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDSAY ROZEK
PRESIDENT
N8982 COUNTY ROAD TA
MINDORO WI 54644

Officer/Director/Trustee Two

JESS MULHOLLAND
VICE PRESIDENT
N181 STATE ROAD 108
MELROSE WI 54642

Officer/Director/Trustee Three

STACY SPORS
TREASURER
N181 STATE ROAD 108
MELROSE WI 54642

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/14
Organization Incorporation State WI
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: No
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 LINDSAY ROZEK
Signature Title PRESIDENT
Signature Date 6/8/18

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