FORM 1023-EZ for BREAK O DAY ELEMENTARY SCHOOL PARENT TEACHER ORGANIZATION

Field Data
EIN 87-0876479
Case Number EO-2021148-000489
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREAK O DAY ELEMENTARY SCHOOL PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 900 SAWMILL ROAD
City NEW WHITELAND
State IN
ZIP 46184
Accounting period End 5
Primary contact name LENELL TATE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LENELL TATE
PRESIDENT
19 RYPMA ROW
NEW WHITELAND IN 46184

Officer/Director/Trustee Two

RACHEL BOWLES
VICE PRESIDENT
131 HILLTOP FARMS BOULEVARD
WHITELAND IN 46184

Officer/Director/Trustee Three

TARA WALTERS
SECRETARY
63 OAKDEN COURT
NEW WHITELAND IN 46184

Officer/Director/Trustee Four

KRISTIN MILLS
TREASURER
160 TRACY RIDGE BOULEVARD
WHITELAND IN 46184

Officer/Director/Trustee Five

AMBER SIMMONS
VOLUNTEER COORDINATOR
1150 PARADISE CT UNIT C
GREENWOOD IN 46143

Organization’s website
Organization’s email BESPTO@CPCSC.K12.IN.US
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2021
Organization Incorporation State IN
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 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 LENELL TATE
Signature Title PRESIDENT
Signature Date 5/26/2021

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