PTO Information Sheet

Send an updated copy of this form to your School Principal as new officers are elected or as
information changes.

1. Official PTO Name:

2. School Name:
3. Employer Identification Number (EIN):
4. Official Mailing Address:
PO Box / Street Address:

City, State & Zip Code:

5. Date of Change:

6. Current PTO Officers for the School Year

Office Held:

Printed Name:

Mailing Address:

Phone Numbers: Hm: Wk: Cell:

E-mail Address:

Office Held:

Printed Name:

Mailing Address:

Phone Numbers: Hm: Wk: Cell:

E-mail Address:

By law, information on this page is public information and must be released to the public at such requests.

6. Current PTO Officers (Continued)

2.5.2
09/09/2009
 PTO Information Sheet

Send an updated copy of this form to your School Principal as new officers are elected or as
information changes.

Office Held:

Printed Name:

Mailing Address:

Phone Numbers: Hm: Wk: Cell:

E-mail Address:

Office Held:

Printed Name:

Mailing Address:

Phone Numbers: Hm: Wk: Cell:

E-mail Address:

Office Held:

Printed Name:

Mailing Address:

Phone Numbers: Hm: Wk: Cell:

E-mail Address:

By law, information on this page is public information and must be released to the public at such requests.

2.5.3
09/09/2009