FORM 1023-EZ for RAYNE HIGH SCHOOL PARENT TEACHER ORGANIZATION INC

Field Data
EIN 81-3262788
Case Number EO-2016210-000603
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RAYNE HIGH SCHOOL PARENT TEACHER ORGANIZATION INC
Organization’s Mailing Address 527 SOLDIER RD
City RAYNE
State LA
ZIP 70578
Accounting period End 6
Primary contact name NICOLE DEJEAN-BROUSSARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE DEJEAN-BROUSSARD
PRESIDENT
527 SOLDIER RD
RAYNE LA 70578

Officer/Director/Trustee Two

ANGEL BARRON
VICE-PRESIDENT
291 BOSCO
CHURCH POINT LA 70525

Officer/Director/Trustee Three

PAIGE DUPONT
SECRETARY
406 N CUNNINGHAM
RAYNE LA 70578

Officer/Director/Trustee Four

FRANK BERGERON
TREASURER
504 DEER PARK
RAYNE LA 70578

Organization’s website
Organization’s email RAYNEHIGHPTO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2016
Organization Incorporation State LA
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 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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