FORM 1023-EZ for BLUE HILLS ELEMENTARY PTO

Field Data
EIN 46-2824526
Case Number EO-2015152-000341
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUE HILLS ELEMENTARY PTO
Organization’s Mailing Address 1911 N BLUE MILLS RD
City INDEPENDENCE
State MO
ZIP 64058-1704
Accounting period End 6
Primary contact name RANDI PERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RANDI PERRY
PRESIDENT
19000 E 19TH STREET CT N
INDEPENDENCE MO 64058-1224

Officer/Director/Trustee Two

MELISSA WEIKEL
VICE PRESIDENT
20308 E 14TH STREET N
INDEPENDENCE MO 64056-1443

Officer/Director/Trustee Three

CHRISTY FILMORE
TREASURER
19705 E 17TH TERR N
INDEPENDENCE MO 64056

Officer/Director/Trustee Four

JUSTON SMITH
FUNDRAISING
1819 N ASHLEY DR
INDEPENDENCE MO 64058

Officer/Director/Trustee Five

CHRIS FORD
PARLIAMENTARIAN
19920 E 17TH STREET CT N
INDEPENDENCE MO 64056-1481

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/2014
Organization Incorporation State MO
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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