NEW OR RETURNING OFFICERS FORM

USE THIS FORM ONLY IF YOU HAVE NOT PREVIOUSLY SUBMITTED YOUR OFFICERS OR RECEIVED MEMBERSHIP CARDS FOR THE 2017-2018 YEAR. PLEASE USE FULL NAMES NO INITIALS. PLEASE CHECK INFORMATION FOR CORRECTNESS. THE INFORMATION PROVIDED IS WHAT WE USE TO COMMUNICATE WITH EACH LOCAL UNIT. PLEASE NOTE, WE ARE REQUIRED TO HAVE A HOME ADDRESS FOR THE OFFICERS. THIS INFORMATION IS NOT SHARED WITH NON-PTA ENTITIES. THANK YOU.
PLEASE COMPLETE AS MUCH INFORMATION AS POSSIBLE and send to the State Office (as soon as officers are elected). You will not receive membership cards and the Florida PTA Kit of Materials if this information is not returned. Information MUST be completed for President, Treasurer and Secretary.
Membership Cards and the Florida PTA Kit of Materials will be sent to each local unit upon receipt of this completed form. (ALL MAILINGS WILL BE SENT TO THE PTA/PTSA PRESIDENT'S ADDRESS YOU PROVIDE.)
AFTER COMPLETION OF YOUR FORM: Check your email for the email confirmation of the form submission. After confirmation is received, the State Office will begin the process to send out the shipment of the membership cards with your Kit of Material Instructions. (Remember, these will go to the PTA/PTSA President's mailing address that you provided.)
SELECT THE YEAR YOU ARE SERVING AS OFFICER OF PTA/PTSA
Membership Year(*)
Invalid Input

What is the membership year, your officers are serving?

NAME OF PTA (AS LISTED IN BYLAWS)(*)
NOT VALID ENTRY

National PTA Local Unit Number: (Add zeros to beginning to make 8 digits)(*)
8 DIGIT NUMBER

Federal EIN(*)
9 DIGIT NUMBER HERE

 
School of Unit Information
NAME OF SCHOOL OR UNIT(*)
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Street Address
Invalid Input

City
Invalid Input

Zip Code
NOT VALID ENTRY

County (such as Orange, Pinellas, Seminole, etc.)(*)
NOT VALID ENTRY

Phone(*)
Invalid Input

Example: 1234567890

Principal’s First Name:(*)
NOT VALID ENTRY

Principal’s Last Name:(*)
NOT VALID ENTRY

Principal’s Email(*)
Invalid email address.

Type(*)
Invalid Input

TOTAL SCHOOL ENROLLMENT(*)
ENTER A NUMBER HERE

(As of 9/30/2015)

 
INTERNAL REVENUE SERVICE REQUIREMENTS
The Internal Revenue Service REQUIRES all not-for-profit organizations (PTAs) with GROSS RECEIPTS in excess of $50,000.00 to file form 990 EZ. All not-for-profits (PTAs) with gross receipts less than $50,000.00 must file an electronic 990 postcard. The deadline for either form is no later than five months after your fiscal year end. Please NOTE: The IRS and Florida PTA REQUIRE each local unit to provide a copy of their filed 990 with the State Office. Immediately upon completion of your 990 Tax Return, please forward a copy to us via U.S. Mail (1747 Orlando Central Parkway, Orlando 32809); via facsimile 407-240-9577 or by email to: 990@floridapta.org.
REQUIRED: Gross Income as of June 30, 2016 (*)

(As reported on your June 30, 2015 audit.)

 
President's First Name(*)
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President's Last Name(*)
NOT VALID ENTRY

HOME Mailing Address (not school address):(*)
NOT VALID ENTRY

City President(*)
NOT VALID ENTRY

Zip Code President(*)
NOT VALID ENTRY

President Email(*)
Invalid Input

President Phone(*)
NOT VALID ENTRY

Example: 1234567890

 
PTA Treasurer First Name:(*)
NO VALID ENTRY

PTA Treasurer Last Name:(*)
NO VALID ENTRY

Home Mailing Address Treasurer(*)
NO VALID ENTRY

Treasurer City(*)
NO VALID ENTRY

Zip Code Treasurer(*)
NOT VALID ENTRY

Treasurer Email(*)
NOT VALID ENTRY

Treasurer Phone(*)
NOT VALID ENTRY

Example: 1234567890

PTA Secretary First Name(*)
NOT VALID ENTRY

PTA Secretary Last Name:(*)
NOT VALID ENTRY

Home Mailing Address:(*)
NOT VALID ENTRY

City Secretary(*)
NOT VALID ENTRY

Zip Code Secretary(*)
NOT VALID ENTRY

Secretary Email(*)
NOT VALID ENTRY

Secretary Phone(*)
NOT VALID ENTRY

Example: 1234567890

 
(If a VP is the responsible person for the committees listed below, include their contact information here.)
PTA Membership Chair First Name:
Invalid Input

PTA Membership Chair Last Name:
Invalid Input

Email
Invalid Input

Telephone
Invalid Input

Example: 1234567890

PTA Legislation Chair First Name:
Invalid Input

PTA Legislation Chair Last Name:
Invalid Input

Email
Invalid Input

Telephone
Invalid Input

Example: 1234567890

PTA Cultural Arts/Reflections Chair First Name:
Invalid Input

PTA Cultural Arts/Reflections Chair Last Name:
Invalid Input

Email
Invalid Input

Telephone
Invalid Input

By providing email addresses, Florida PTA can provide important updates to each member listed. Florida PTA uses this information for its communication purposes only. WE DO NOT PROVIDE OFFICER OR MEMBERSHIP LISTS TO OUTSIDE ENTITIES.

Sunshine State PTSA

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Web Site Disclaimer

The Florida PTA is providing information and services on the Internet as a benefit and service in furtherance of the Florida PTA’s nonprofit and tax exempt status. Florida PTA materials may not be duplicated by any other organization or person without written permission. Companies and/or products found on this Web site do not constitute endorsement. Although the Florida PTA site includes links providing direct access to other Internet sites, the Florida PTA has not participated in the development of those other sites, and does not exert any editorial or other control over those sites.