FORM 1023-EZ for HORATIO G BENT ELEMENTARY SCHOOL PTO INC

Field Data
EIN 82-4048325
Case Number EO-2018052-000158
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HORATIO G BENT ELEMENTARY SCHOOL PTO INC
Organization’s Mailing Address 904 N ROOSEVELT
City BLOOMINGTON
State IL
ZIP 61701
Accounting period End 12
Primary contact name JOHN L PRATT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA WALLES
PRESIDENT
904 N ROOSEVELT
BLOOMINGTON IL 61701

Officer/Director/Trustee Two

NICK JOHNSTON
TREASURER
904 N ROOSEVELT
BLOOMINGTON IL 61701

Officer/Director/Trustee Three

ALISON HODINA
SECRETARY
904 N ROOSEVELT
BLOOMINGTON IL 61701

Officer/Director/Trustee Four

AMANDA VAN ALLEN
DIRECTOR
904 N ROOSEVELT
BLOOMINGTON IL 61701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/18
Organization Incorporation State IL
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 MELISSA WALLES
Signature Title PRESIDENT
Signature Date 2/16/18

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