FORM 1023-EZ for INDIAN HILLS JUNIOR HIGH COMMITTEEFOR PARENT INVOLVEMENT

Field Data
EIN 81-1591981
Case Number EO-2016070-000345
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDIAN HILLS JUNIOR HIGH COMMITTEEFOR PARENT INVOLVEMENT
Organization’s Mailing Address 9401 INDIAN HILLS DRIVE
City CLIVE
State IA
ZIP 50325
Accounting period End 6
Primary contact name ELLEN ELMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELLEN ELMORE
8TH GRADE CHAIR
13981 SOUTH SHORE DR
CLIVE IA 50325

Officer/Director/Trustee Two

STEPHANIE HORAK
7TH GRADE CHAIR
14104 BRIARWOOD LANE
URBANDALE IA 50323-2122

Officer/Director/Trustee Three

BROOKE ACHESON
SECRETARY
800 57TH STREET
WEST DES MOINES IA 50266

Officer/Director/Trustee Four

TINA CHENEY
TREASURER
627 REED COURT
WEST DES MOINES IA 50266

Officer/Director/Trustee Five

NIKKI JOHNSON
VOLUNTEER COORDINATOR
5609 CODY DRIVE
WEST DES MOINES IA 50266

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2016
Organization Incorporation State IA
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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