FORM 1023-EZ for SHADY GROVE PARENT TEACHER ORGANIZATION

Field Data
EIN 58-1493046
Case Number EO-2016071-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHADY GROVE PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 5360 SHADY GROVE ROAD
City MEMPHIS
State TN
ZIP 38120-2404
Accounting period End 6
Primary contact name LETTIE CROSBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LETTIE CROSBY
PRESIDENT
6314 GILLHAM DRIVE
MEMPHIS TN 38134-7565

Officer/Director/Trustee Two

AMANDA CASE
VICE PRESIDENT
1569 PEPPERWOOD STREET
MEMPHIS TN 38134-7565

Organization’s website N/A
Organization’s email SHADYGROVEELEMENTARYPTO@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/2015
Organization Incorporation State TN
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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