FORM 1023-EZ for BLOOMINGTON HOMELESS COALITION INC

Field Data
EIN 87-1947923
Case Number EO-2021215-000069
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLOOMINGTON HOMELESS COALITION INC
Organization’s Mailing Address 1261 NORTH LINDBERGH DRIVE
City BLOOMINGTON
State IN
ZIP 47404-3060
Accounting period End 6
Primary contact name MARY STEWART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER LAKE
PRESIDENT
1805 S HUNTINGTON GARDENS PL APT8
BLOOMINGTON IN 47401

Officer/Director/Trustee Two

MARY STEWART
TREASURER
1261 N LINDBERGH DRIVE
BLOOMINGTON IN 47404

Officer/Director/Trustee Three

KIALANI FERGUSON
SECRETARY
316 E UNIVERSITY ST
BLOOMINGTON IN 47401

Organization’s website
Organization’s email BLOOMINGTONHOMELESSCOALITION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2021
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 HEATHER LAKE
Signature Title PRESIDENT
Signature Date 7/31/2021

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