FORM 1023-EZ for LAKE PTO

Field Data
EIN 85-0676258
Case Number EO-2020104-000189
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE PTO
Organization’s Mailing Address 28150 LEMOYNE ROAD
City MILLBURY
State OH
ZIP 43447
Accounting period End 6
Primary contact name SARAH BYINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH BYINGTON
PRESIDENT
27650 LEMOYNE RD
MILLBURY OH 43447

Officer/Director/Trustee Two

HILARY ROGGELIN
VICE PRESIDENT
28855 MAIN ST
MILLBURY OH 43447

Officer/Director/Trustee Three

AMANDA BOWERS
SECRETARY
4074 N REIMAN RD
MILLBURY OH 43447

Officer/Director/Trustee Four

ASHLEY MCGOVERN
TREASURER
28082 SCHRIBER ST
WALBRIDGE OH 43465

Officer/Director/Trustee Five

CHANTEL ORTEGA
SERGEANT OF ARMS
28940 MAIN ST
MILLBURY OH 43447

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2020
Organization Incorporation State OH
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 SARAH BYINGTON
Signature Title PRESIDENT
Signature Date 4/9/2020

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