Information on File

Unit/Council Name:

School:

Federal Employer ID Number (FEIN):

NY Sales Tax Exempt Number:

Is this information correct?

This information is correct.

This information is not correct.

Tax Filing

Did you file an IRS Form 990 for the fiscal year ending June 30, 2016, which was due no later than November 15, 2016?

Yes, we filed a 990-EZ with Attachment A.

Yes, we filed a 990-N (ePostcard).

No, we did not file an IRS 990 of any type.

No, we filed an extension.

Not sure if the IRS 990 was filed.

President and Primary Contact

Enter one president name only. This person will be the primary contact for all correspondence from New York State and National PTA. If you have two co-presidents, you can enter the second person on page two of this form.

First Name

Last Name

Address Please do not use your school's address.

Email Email address required for login access. Please do not unsubscribe, you are the primary contact for your PTA.

City

Zip Code

Home Phone Please include your area code.

Mobile Phone (used for text reminders) Please include your area code.

Year of Position

First Year in Position

Second Year in Position

Treasurer

Enter the name and address of the Treasurer.

First Name

Last Name

Address

Email Required for login access.

City

Zip Code

Home Phone Please include your area code.

Mobile Phone (used for text reminders) Please include your area code.

Secretary

Enter the name and address of the Secretary.

First Name

Last Name

Address

Email Required for login access.

City

Zip Code

Home Phone Please include your area code.

Mobile Phone (used for text reminders) Please include your area code.

Select which (if any) of the following positions your unit has. (You will be able to add additional Vice Presidents and Membership Chairs in the portal once you have your login credentials.)

Co-President

President-Elect

Vice President

Corresponding Secretary

Membership Chair

Co-President

First Name

Last Name

Address

Email Required for login access.

City

Zip Code

Home Phone Please include your area code.

Mobile Phone (used for text reminders) Please include your area code.

President-Elect

First Name

Last Name

Address

Email Required for login access.

City

Zip Code

Home Phone Please include your area code.

Mobile Phone (used for text reminders) Please include your area code.

Vice President

First Name

Last Name

Address

City

Zip Code

Home Phone Please include your area code.

Mobile Phone (used for text reminders) Please include your area code.

Corresponding Secretary

First Name

Last Name

Address

City

Zip Code

Home Phone Please include your area code.

Mobile Phone (used for text reminders) Please include your area code.

Membership Chair

First Name

Last Name

Address

City

Zip Code

Home Phone Please include your area code.

Mobile Phone (used for text reminders) Please include your area code.

1. Name of Person Submitting Form

2. Email of Person Submitting Form

What happens next?
1. Submission confirmation will be sent to this address and to the president.
2. Once submitted, the Form A will be sent to your Region Director for approval.
3. Once approved, login credentials will be sent to each officer or membership chair with an email address.

Officer Updates Have Moved to MemberHub

Information on File

Tax Filing

Form A - Required Officers

President and Primary Contact

Treasurer

Secretary

Form A - Optional Officers and Membership Chair

Co-President

President-Elect

Vice President

Corresponding Secretary

Membership Chair