FORM 1023-EZ for FOX WEST ACADEMY PARENT TEACHER CORPORATION

Field Data
EIN 81-4921232
Case Number EO-2017044-000321
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOX WEST ACADEMY PARENT TEACHER CORPORATION
Organization’s Mailing Address 220 WARNER ST
City HORTONVILLE
State WI
ZIP 54944-8559
Accounting period End 6
Primary contact name PAM MULLOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAM MULLOCK
PRESIDENT
202 BROOKWOOD DR
HORTONVILLE WI 54944-9282

Officer/Director/Trustee Two

MICHELLE SPINDLER
VICE PRESIDENT
W7458 GRAND VIEW RD
HORTONVILLE WI 54944-9747

Officer/Director/Trustee Three

AIMEE MASHLAN
TREASURER
W6684 MIDWAY RD
HORTONVILLE WI 54944-8303

Officer/Director/Trustee Four

JENNIFER KOENECKE
FWA TEACHER REPRESENTATIVE
W10110 RIDGE RD
HORTONVILLE WI 54944-9695

Officer/Director/Trustee Five

AMANDA MOEDE
SECRETARY
140 KELLY WAY APT 6
HORTONVILLE WI 54944-8736

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2017
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 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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