FORM 1023-EZ for LEVI H DICKEY ELEMENTARY PTO

Field Data
EIN 84-1812634
Case Number EO-2019210-000552
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEVI H DICKEY ELEMENTARY PTO
Organization’s Mailing Address 2840 SOUTH PARCO AVE
City ONTARIO
State CA
ZIP 91761
Accounting period End 6
Primary contact name SAMANTHA SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMANTHA SMITH
TREASURER
1501 East Banyan St
CA

Officer/Director/Trustee Two

JESSICA LLERENAS
PRESIDENT
2614 S SAN DIEGO AVE
ONTARIO CA 91761

Officer/Director/Trustee Three

JANET ROMO
VICE PRESIDENT
1439 E RIVERSIDE DR
ONTARIO CA 91761

Officer/Director/Trustee Four

CLAUDIA GAZCON
SECRETRY
25375 YOLANDA AVE
MORENO VALLEY CA 92551

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/19
Organization Incorporation State CA
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 SAMANTHA SMITH
Signature Title TREASURER
Signature Date 7/26/19

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