FORM 1023-EZ for PYMATUNING VALLEY MIDDLE SCHOOL PARENT TEACHER ORGANIZATION

Field Data
EIN 34-1813132
Case Number EO-2015236-000139
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PYMATUNING VALLEY MIDDLE SCHOOL PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 5445 US ROUTE 6
City ANDOVER
State OH
ZIP 44003
Accounting period End 6
Primary contact name WANDA VOELKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WANDA VOELKER
CHAIRPERSON
5235 STANHOPE KELLOGGSVILLE ROAD
ANDOVER OH 44003

Officer/Director/Trustee Two

CHRISTINE HAYNES
TREASURER
PO BOX 39
ANDOVER OH 44003

Officer/Director/Trustee Three

TRACY CLEVLAND
SECRETARY
6106 WEBBER COLE ROAD
KINSMAN OH 44428

Officer/Director/Trustee Four

AMY JENICK
EXECUTIVE BOARD MEMBER
PO BOX 244
ANDOVER OH 44003

Officer/Director/Trustee Five

KATHERINE JERNIGAN
EXECUTIVE BOARD MEMBER
2508 TUPELO DRIVE
ROAMING SHORES OH 44084

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2015
Organization Incorporation State OH
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 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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