FORM 1023-EZ for CHICKASAW ELEMENTARY SCHOOL PTA

Field Data
EIN 58-1977601
Case Number EO-2017296-000268
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHICKASAW ELEMENTARY SCHOOL PTA
Organization’s Mailing Address 6391 CHICKASAW DR
City OLIVE BRANCH
State MS
ZIP 38654
Accounting period End 6
Primary contact name EMILY SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIFFANY HARRIS
PRESIDENT
6391 CHICKASAW DR
OLIVE BRANCH MS 38654

Officer/Director/Trustee Two

BRANDI STATESON
VICE PRESIDENT
6391 CHICKASAW DR
OLIVE BRANCH MS 38654

Officer/Director/Trustee Three

EMILY SMITH
TREASURER
6391 CHICKASAW DR
OLIVE BRANCH MS 38654

Officer/Director/Trustee Four

BETHANY PERKINS
SECRETARY
6391 CHICKASAW DR
OLIVE BRANCH MS 38654

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/1992
Organization Incorporation State MS
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 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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