FORM 1023-EZ for HERSHEY ELEMENTARY PTO

Field Data
EIN 94-3481413
Case Number EO-2015138-000309
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HERSHEY ELEMENTARY PTO
Organization’s Mailing Address 7521 E 300 N
City LAFAYETTE
State IN
ZIP 47905
Accounting period End 6
Primary contact name REBECCA SARGENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TRICIA TONAGEL-BENDER
PRESIDENT
7114 WENTWORTH LANE
LAFAYETTE IN 47905

Officer/Director/Trustee Two

REBECCA SARGENT
TREASURER
3301 OLD STATE ROAD 25 N
LAFAYETTE IN 47905

Officer/Director/Trustee Three

NIKKI URBANSKI
VICE PRESIDENT
7860 KIPP FARM RD
LAFAYETTE IN 47905

Officer/Director/Trustee Four

CYNTHIA EVANS
SECRETARY
7027 WENTWORTH LANE
LAFAYETTE IN 47905

Organization’s website
Organization’s email HERSHEYPTO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2015
Organization Incorporation State IN
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: No
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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