FORM 1023-EZ for NOVAK ELEMENTARY PARENT TEACHER ORGANIZATION

Field Data
EIN 42-1495648
Case Number EO-2014225-000290
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NOVAK ELEMENTARY PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 401 29TH AVE
City MARION
State IA
ZIP 52302
Accounting period End 6
Primary contact name RACHAEL KUMOTO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JESSICA ANDERSON
PRESIDENT
2900 1ST ST
MARION IA 52302

Officer/Director/Trustee Two

ANGELA LAWRENCE
SECRETARY
1175 BLAIRSFERRY RD
MARION IA 52302

Officer/Director/Trustee Three

RACHAEL KUMOTO
TREASURER
3130 AUTUMN DRIVE
MARION IA 52302

Organization’s website HTTPS://SITES.GOGGLE.COM/SITE/NOVAKELEMENTARYPTO401/HOME
Organization’s email NOVATKPTO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/2010
Organization Incorporation State IA
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 Yes
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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