FORM 1023-EZ for PHILOMATH PTO

Field Data
EIN 84-2258486
Case Number EO-2019184-000089
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHILOMATH PTO
Organization’s Mailing Address PO BOX 514
City PHILOMATH
State OR
ZIP 97370
Accounting period End 12
Primary contact name KELSEY BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRITTANY KENNEDY
PRESIDENT
317 VINCENT ST
PHILOMATH OR 97370

Officer/Director/Trustee Two

KELSEY BROOKS
VICE PRESIDENT
3631 BELLFOUNTAIN RD
CORVALLIS OR 97333

Officer/Director/Trustee Three

SHANNON KASEMAN
SECRETARY
261 N 20TH PL
PHILOMATH OR 97370

Officer/Director/Trustee Four

DEBBIE FULLER
TREASURER
559 MCCALL WAY
PHILOMATH OR 97370

Organization’s website
Organization’s email PHILOMATHPTO@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 KELSEY BROOKS
Signature Title VICE PRESIDENT
Signature Date 7/1/19

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