FORM 1023-EZ for SHEPAUG VALLEY SCHOOL PTO

Field Data
EIN 47-5134309
Case Number EO-2015272-000265
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHEPAUG VALLEY SCHOOL PTO
Organization’s Mailing Address 159 SOUTH STREET
City WASHINGTON
State CT
ZIP 06793
Accounting period End 6
Primary contact name TAMZIN MARCHESE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TAMZIN MARCHESE
PRESIDENT
48 JUDDS BRIDGE ROAD
ROXBURY CT 06783

Officer/Director/Trustee Two

ANN VIRBICKAS
TREASURER
120 CEDAR HILL ROAD
BRIDGEWATER CT 06752

Officer/Director/Trustee Three

CHRISTINE JOHNSON
VICE PRESIDENT
80 BILBERRY ROAD
BRIDGEWATER CT 06752

Officer/Director/Trustee Four

TERESA SOUTHARD
SECRETARY
79 BILBERRY ROAD
BRIDGEWATER CT 06752

Organization’s website REGION-12.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2015
Organization Incorporation State
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: 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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