FORM 1023-EZ for SHORELINE SPECIAL NEEDS PTSA

Field Data
EIN 46-3833045
Case Number EO-2015061-000378
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHORELINE SPECIAL NEEDS PTSA
Organization’s Mailing Address PO BOX 55323
City SHORELINE
State WA
ZIP 98155
Accounting period End 6
Primary contact name CATHI CUNNINGHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATIE ROHS
PRESIDENT
18742 30TH AVE NE
LFP WA 98155

Officer/Director/Trustee Two

AMY SCHLEY
VICE PRESIDENT
858 NE 151ST
SHORELINE WA 98155

Officer/Director/Trustee Three

STACEY AUGER
SECRETARY
3601 NE 205TH
LFP WA 98155

Officer/Director/Trustee Four

CATHI CUNNINGHAM
TREASURER
1280 NW 191ST ST
SHORELINE WA 98177

Organization’s website SHORELINESPECIALNEEDSPTA.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/2013
Organization Incorporation State WA
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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