FORM 1023-EZ for PRATUM PARENTS CLUB INCORPORATED

Field Data
EIN 47-2561826
Case Number EO-2015012-000405
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PRATUM PARENTS CLUB INCORPORATED
Organization’s Mailing Address 8995 SUNNYVIEW RD NE
City SALEM
State OR
ZIP 97305
Accounting period End 12
Primary contact name JOHN GILLIAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN GILLIAM
PRESIDENT
575 SHELOKUM DR
SILVERTON OR 97381

Officer/Director/Trustee Two

MICHELLE WADE
VICE PRESIDENT
1300 95TH AVE NE
SALEM OR 97317

Officer/Director/Trustee Three

ALISON SEEBER
SECRETARY
10668 KAUFMAN RD NE
SILVERTON OR 97381

Officer/Director/Trustee Four

STEPHANIE MANTIE
TREASURER
1737 HAZELNUT LN NE
SALEM OR 97317

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2014
Organization Incorporation State OR
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
Signature Title
Signature Date

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