FORM 1023-EZ for STALEY ELEMENTARY SCHOOL PTG

Field Data
EIN 82-4339687
Case Number EO-2018043-000223
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STALEY ELEMENTARY SCHOOL PTG
Organization’s Mailing Address 620 E BLOOMFIELD ST
City ROME
State NY
ZIP 13440
Accounting period End 6
Primary contact name IRIS BUCZKOWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TANYA DAVIS
PRESIDENT
620 E BLOOMFIELD ST
ROME NY 13440

Officer/Director/Trustee Two

KARI BARBER
VICE PRESIDENT
620 E BLOOMFIELD ST
ROME NY 13440

Officer/Director/Trustee Three

IRIS BUCZKOWSKI
TREASURER
620 E BLOOMFIELD ST
ROME NY 13440

Officer/Director/Trustee Four

LISA ORTIZ
SECRETARY
620 E BLOOMFIELD ST
ROME NY 13440

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/17
Organization Incorporation State NY
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name IRIS BUCZKOWSKI
Signature Title TREASURER
Signature Date 2/8/18

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