FORM 1023-EZ for LAKE HAZEL MIDDLE SCHOOL PTSO

Field Data
EIN 14-1998549
Case Number EO-2016295-000114
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKE HAZEL MIDDLE SCHOOL PTSO
Organization’s Mailing Address 11625 LA GRANGE RD
City BOISE
State ID
ZIP 83709
Accounting period End 6
Primary contact name JENNIFER RETANA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER RETANA
TREASURER
11881 W DREAMCATCHER ST
BOISE ID 83709

Officer/Director/Trustee Two

CRYSTAL JOSLIN
PRESIDENT
6124 S ACHERON
BOISE ID 83709

Officer/Director/Trustee Three

CARISSA WAHL
SECRETARY
12523 W BILLABONG
BOISE ID 83709

Officer/Director/Trustee Four

KRISTA BUTLER
VICE PRESIDENT
7483 S HUNT STREET
BOISE ID 83709

Organization’s website
Organization’s email LHMSPARENTS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/2007
Organization Incorporation State ID
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 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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