FORM 1023-EZ for NORTHAVEN ELEMENTARY PTO

Field Data
EIN 77-0694470
Case Number EO-2015222-000270
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHAVEN ELEMENTARY PTO
Organization’s Mailing Address 1907 OAK RIDGE DRIVE
City JEFFERSONVILLE
State IN
ZIP 47130
Accounting period End 12
Primary contact name LESLIE KELLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MELISSA SHELTON
PRESIDENT
1907 OAK RIDGE DRIVE
JEFFERSONVILLE IN 47130

Officer/Director/Trustee Two

LESLIE KELLEY
TREASURER
1907 OAK RIDGE DRIVE
JEFFERSONVILLE IN 47130

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2007
Organization Incorporation State
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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