FORM 1023-EZ for LILLINGTON-SHAWTOWN ELEMENTARY PTO

Field Data
EIN 47-1859631
Case Number EO-2014297-000576
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LILLINGTON-SHAWTOWN ELEMENTARY PTO
Organization’s Mailing Address 855 OLD US 421
City LILLINGTON
State NC
ZIP 27546
Accounting period End 12
Primary contact name DANA TEMPLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

APRIL COBLE ELLER
PRESIDENT
PO BOX 2228
LILLINGTON NC 27546

Officer/Director/Trustee Two

DANA TEMPLE
VICE PRESIDENT
6911 ROSS ROAD
ERWIN NC 28339

Officer/Director/Trustee Three

AMANDA INGUANZA
VICE PRESIDENT
326 CAD COLLINS LANE
LILLINGTON NC 27546

Officer/Director/Trustee Four

CARRIE BIBBENS
TREASURER
2614 MCDOUGALD RD
LILLINGTON NC 27546

Officer/Director/Trustee Five

KEITH FOX
TREASURER
PO BOX 1841
LILLINGTON NC 27546

Organization’s website
Organization’s email PTO.LSES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2014
Organization Incorporation State NC
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: No
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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