FORM 1023-EZ for BEAN STATION ELEMENTARY PARENT TEACHER ORGANIZATION

Field Data
EIN 75-3173229
Case Number EO-2016364-000043
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEAN STATION ELEMENTARY PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 200 BEAN STATION SCHOOL ROAD
City BEAN STATION
State TN
ZIP 37708
Accounting period End 12
Primary contact name SANDRA WIEBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRA WIEBER
VICE-PRESIDENT
228 FAIRWAY DR
MOORESBURG TN 37811

Officer/Director/Trustee Two

CRYSTAL BLAKE
TREASURER
1230 NEWMAN HOLLOW RD
BEAN STATION TN 37708

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2008
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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