FORM 1023-EZ for BORMAN ELEMENTARY PTO

Field Data
EIN 47-4911857
Case Number EO-2015299-000304
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BORMAN ELEMENTARY PTO
Organization’s Mailing Address 6630 EAST LIGHTNING DRIVE
City TUCSON
State AZ
ZIP 85708-1043
Accounting period End 7
Primary contact name SAMANTHA SHIELDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SAMANTHA SHIELDS
PRESIDENT
6630 EAST LIGHTNING DRIVE
TUCSON AZ 85708-1043

Officer/Director/Trustee Two

AMBER GILLILAND
VICE-PRESIDENT
6630 EAST LIGHTNING DRIVE
TUCSON AZ 85708-1043

Officer/Director/Trustee Three

ANDREA HOLTZCLAW
TREASURER
6630 EAST LIGHTNING DRIVE
TUCSON AZ 85708-1043

Officer/Director/Trustee Four

TEYAKA BOOKER
SECRETARY
6630 EAST LIGHTNING DRIVE
TUCSON AZ 85708-1043

Officer/Director/Trustee Five

APRIL WOODS
PARENT REPRESENTATIVE
6630 EAST LIGHTNING DRIVE
TUCSON AZ 85708-1043

Organization’s website N/A
Organization’s email BORMANPTO@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2015
Organization Incorporation State AZ
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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