FORM 1023-EZ for LGBTQ NORTHWEST INDIANA INC

Field Data
EIN 83-0556137
Case Number EO-2019074-000583
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LGBTQ NORTHWEST INDIANA INC
Organization’s Mailing Address 10769 BROADWAY SUITE 136
City CROWN POINT
State IN
ZIP 46307-7316
Accounting period End 12
Primary contact name AMARI VICTORIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMARI VICTORIA
EXECUTIVE DIRECTOR
8151 E 123RD PL
CROWN POINT IN 46307-8089

Officer/Director/Trustee Two

ELISABETH MENNING
SECRETARY
8151 E 123RD PL
CROWN POINT IN 46307-8089

Officer/Director/Trustee Three

DEBBIE GIRTON
TREASURER
7614 E 111TH LN
CROWN POINT IN 46307-7212

Organization’s website WWW.LGBTQ-NWI.ORG
Organization’s email ADMIN@LGBTQ-NWI.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
Organization’s purpose Charitable: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AMARI VICTORIA
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/13/19

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