FORM 1023-EZ for JOHNSON PARENT TEACHER ORGANIZATION

Field Data
EIN 47-1276263
Case Number EO-2015029-000235
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JOHNSON PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 4101 SENECA
City FORT COLLINS
State CO
ZIP 80526
Accounting period End 6
Primary contact name DJ ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DJ ANDERSON
CO-PRESIDENT
4430 VISTA DRIVE
FORT COLLINS CO 80526

Officer/Director/Trustee Two

JANEL PEEBLES
CO-PRESIDENT
1332 WOODVIEW PLACE
FORT COLLINS CO 80526

Officer/Director/Trustee Three

BECKI HARTSHORN
VICE PRESIDENT
4503 ZAHN COURT
FORT COLLINS CO 80526

Officer/Director/Trustee Four

AMBER KELLEY
SECRETARY
3826 ROYAL DRIVE
FORT COLLINS CO 80526

Officer/Director/Trustee Five

MICHELLE LAGUARDIA
TREASURER
4615 CHOKECHERRY TRAIL NUMBER 2
FORT COLLINS CO 80526

Organization’s website SCHOOLWEB.PSDSCHOOLS.ORG/JOHNSON/PTO.HTML
Organization’s email DJANDERSON17@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2014
Organization Incorporation State CO
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 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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