FORM 1023-EZ for TIFFIN ELEMENTARY PTG

Field Data
EIN 47-3401053
Case Number EO-2015163-000402
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TIFFIN ELEMENTARY PTG
Organization’s Mailing Address 105 N PARK RD
City TIFFIN
State IA
ZIP 52340
Accounting period End 5
Primary contact name DAN DVORAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER REMPT
CO- PRESIDENT
552 ROLLING HILLS DR
TIFFIN IA 52340

Officer/Director/Trustee Two

PATTY SCHULTE
TREASURE
47 EAST ST
TIFFIN IA 52340

Officer/Director/Trustee Three

ERICA BILLITER
CO-VICE PRESIDENT
228 STEPHENS ST
TIFFIN IA 52340

Officer/Director/Trustee Four

MICHELLE EMMEL
CO- PRESIDENT
1630 STONE CREEK CIR
NORTH LIBERTY IA 52317

Officer/Director/Trustee Five

TAMMY NELSON
TREASURE
1695 STONE CREEK CIR
NORTH LIBERTY IA 52317

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2015
Organization Incorporation State IA
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 Yes
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
Signature Title
Signature Date

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