FORM 1023-EZ for PINE RIVER PARENT TEACHER GROUP

Field Data
EIN 14-1978370
Case Number EO-2018025-000132
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PINE RIVER PARENT TEACHER GROUP
Organization’s Mailing Address 408 GILBERT STREET
City LEROY
State MI
ZIP 49655
Accounting period End 6
Primary contact name LANI HUBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDSAY EDSTROM
PRESIDENT
408 GILBERT STREET
LEROY MI 49655

Officer/Director/Trustee Two

SARAH DELANCEY
VICE PRESIDENT
408 GILBERT STREET
LEROY MI 49655

Officer/Director/Trustee Three

LANI HUBER
TREASURER
408 GILBERT STREET
LEROY MI 49655

Officer/Director/Trustee Four

MICHELLE KULPA
SECRETARY
408 GILBERT STREET
LEROY MI 49655

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/28/17
Organization Incorporation State MI
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LANI HUBER
Signature Title TREASURER
Signature Date 1/23/18

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