FORM 1023-EZ for NEW ALBANY INTERMEDIATE PARENT TEACHER ORGANIZATION

Field Data
EIN 82-1818467
Case Number EO-2017170-000321
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW ALBANY INTERMEDIATE PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 177 N HIGH ST
City NEW ALBANY
State OH
ZIP 43054
Accounting period End 6
Primary contact name SARAH MULLENDORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARRIE BUSSEWITZ
PRESIDENT
5060 WHYTEHOUSE LANE
NEW ALBANY OH 43054

Officer/Director/Trustee Two

SARAH MULLENDORE
TREASURER
6905 MARGARUM BND
NEW ALBANY OH 43054

Officer/Director/Trustee Three

KATHRYN ADLER
VP OF FUNDRAISING
7406 TOTTENHAM PL
NEW ALBANY OH 43054

Officer/Director/Trustee Four

CHRISTY PIRKLE
SECRETARY
6851 HARPER LANE
NEW ALBANY OH 43054

Officer/Director/Trustee Five

COLEEN BARBER
PRESIDENT-ELECT
8181 PARSONS PASS
NEW ALBANY OH 43054

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/2017
Organization Incorporation State OH
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 Yes
One Third Support Gifts No
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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