FORM 1023-EZ for DUNLAP ELEMENTARY PTSA

Field Data
EIN 91-1273715
Case Number EO-2015208-000234
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DUNLAP ELEMENTARY PTSA
Organization’s Mailing Address 4525 S CLOVERDALE ST
City SEATTLE
State WA
ZIP 98118-4632
Accounting period End 6
Primary contact name MATTHEW BURTNESS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BOUNPRASONG KEOLOUANGKHOTH
PRESIDENT
8420 47TH AVE S
SEATTLE WA 98118

Officer/Director/Trustee Two

MATTHEW BURTNESS
TREASURER
520 3RD AVE WEST APT 104
SEATTLE WA 98119

Officer/Director/Trustee Three

JACQUALINE BROWN
SECRETARY
6611 SOUTH 127TH PLACE
SEATTLE WA 98178

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2014
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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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