FORM 1023-EZ for RIVERSIDE VIKINGS PTA INCORPORATED

Field Data
EIN 81-2667076
Case Number EO-2016190-000677
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RIVERSIDE VIKINGS PTA INCORPORATED
Organization’s Mailing Address 300 DAVIS STREET
City TAYLOR
State PA
ZIP 18517
Accounting period End 6
Primary contact name KIM KELLY PTA PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIM KELLY
PTA PRESIDENT
604 CENTER STREET
TAYLOR PA 18517

Officer/Director/Trustee Two

ANN-MARIE MORAN
PTA VICE PRESIDENT
12 AMHERST STREET
TAYLOR PA 18517

Officer/Director/Trustee Three

KAREN GRZYBOSKI
PTA VICE PRESIDENT
4 WHARTON CLOSE
MOOSIC PA 18507

Officer/Director/Trustee Four

HEIDI GOWDEN
PTA VICE PRESIDENT
403 SNAPDRAGON DRIVE
AVOCA PA 18641

Officer/Director/Trustee Five

EILEEN TERBOVICH
TREASURER
119 EAST TAYLOR STREET
TAYLOR PA 18517

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2016
Organization Incorporation State PA
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 Yes
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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