FORM 1023-EZ for MERRILL ELEMENTARY PPA

Field Data
EIN 80-0647033
Case Number EO-2018053-000119
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MERRILL ELEMENTARY PPA
Organization’s Mailing Address 406 WEST 2ND STREET
City MERRILL
State OR
ZIP 97633
Accounting period End 12
Primary contact name AMIE MCAULIFFE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEORGIA O BRIEN
PRESIDENT
17356 HILL ROAD
KLAMATH FALLS OR 97603

Officer/Director/Trustee Two

HEATHER PALMER
VICE PRESIDENT
22150 HWY 39
MERRILL OR 97633

Officer/Director/Trustee Three

AMIE MCAULIFFE
TREASURER
20635 DODDS HOLLOW ROAD
MERRILL OR 97633

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/10
Organization Incorporation State OR
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: Yes
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 AMIE MCAULIFFE
Signature Title TREASURER
Signature Date 2/19/18

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