FORM 1023-EZ for CONRAD A ELVEHJEM PTO INC

Field Data
EIN 30-0594081
Case Number EO-2016053-000166
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONRAD A ELVEHJEM PTO INC
Organization’s Mailing Address 5106 ACADEMY DRIVE
City MADISON
State WI
ZIP 53716-1404
Accounting period End 7
Primary contact name PATTI ROSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATTI ROSS
DIRECTOR, PRESIDENT
1505 BRYNWOOD DRIVE
MADISON WI 53716-1811

Officer/Director/Trustee Two

LINDSAY MEFFORD
DIRECTOR, VICE PRESIDENT
1806 GRAFTON ROAD
MADISON WI 53716-4401

Officer/Director/Trustee Three

JILL BAXTER
DIRECTOR
4702 LEO DRIVE
MADISON WI 53716-1425

Officer/Director/Trustee Four

SOR KUAN GOH
DIRECTOR, TREASURER
1521 BRYNWOOD DRIVE
MADISON WI 53716-1811

Officer/Director/Trustee Five

NICKY NAJACHT
DIRECTOR, SECRETARY
1618 HOMBERG LANE
MADISON WI 53716-1928

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2016
Organization Incorporation State WI
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 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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