FORM 1023-EZ for MARY MCLEOD BETHUNE DAY ACADEMY PARENT TEACHER ORGANIZATION

Field Data
EIN 81-1847621
Case Number EO-2016217-000174
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARY MCLEOD BETHUNE DAY ACADEMY PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 1404 JACKSON STREET NE
City WASHINGTON
State DC
ZIP 20017
Accounting period End 6
Primary contact name ADZUA ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALICIA LYLES
PRESIDENT
2523 SAVANNAH STREET SE APT 23
WASHINGTON DC 20020

Officer/Director/Trustee Two

TONESHA MOORE
VICE PRESIDENT
1203 KEARNEY STREET NE
WASHINGTON DC 20017

Officer/Director/Trustee Three

ADZUA ROBINSON
TREASURER
322 QUACKENBOS STREET NE
WASHINGTON DC 20011-1654

Officer/Director/Trustee Four

MARY KOENEN
RECORDING SECRETARY
1235 JACKSON STREET NE
WASHINGTON DC 20017

Officer/Director/Trustee Five

KAREN SOUTHERLAND
COMMUNICATIONS SECRETARY
51 MISSOURI AVENUE NW APT 1
WASHINGTON DC 20011

Organization’s website N/A
Organization’s email MMBETHUNEPTO@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2016
Organization Incorporation State DC
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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