FORM 1023-EZ for DIXON ELEMENTARY PTO

Field Data
EIN 77-0601517
Case Number EO-2016085-000407
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DIXON ELEMENTARY PTO
Organization’s Mailing Address 277 STATE ROUTE 1340
City DIXON
State KY
ZIP 42409
Accounting period End 12
Primary contact name MARCY MAHURIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER MAHURIN
PRESIDENT
351 COUNTRY MEADOW DRIVE
PROVIDENCE KY 42450

Officer/Director/Trustee Two

AMY OAKLEY
VICE-PRESIDENT
134 WOODLAND ACRE DR
DIXON KY 42409

Officer/Director/Trustee Three

MARCY MAHURIN
SECRETARY
947 VANDERBURG LISMAN RD
DIXON KY 42409

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/1992
Organization Incorporation State KY
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 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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