FORM 1023-EZ for NORTH CENTRAL INDIANA SCHOOL STUDYCOUNCIL INC

Field	Data
EIN	35-2043854
Case Number	EO-2019130-000155
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	NORTH CENTRAL INDIANA SCHOOL STUDYCOUNCIL INC
Organization’s Mailing Address	100 N UNIVERSITY
City	WEST LAFAYETTE
State	IN
ZIP	47907
Accounting period End	12
Primary contact name	JOHN E HILL
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

JOHN HILL
EXECUTIVE DIRECTOR TREASURER
100 N UNIVERSITY
WEST LAFAYETTE IN 47907

Officer/Director/Trustee Two

DAN FOSTER
PRESIDENT
711 SCHOOL DRIVE
WINAMAC IN 46996

Officer/Director/Trustee Three

TERESA GREMAUX
PRESIDENT ELECT
305 E BROADWAY STREET
MONON IN 47959

Officer/Director/Trustee Four

JIM HANNA
PAST PRESIDENT
2 ROBERT EGLY DRIVE
ROSSVILLE IN 46065

Officer/Director/Trustee Five

SCOTT HANBACK
MEMBER
21 ELSTON ROAD
LAFATETTE IN 47909

Organization’s website
Organization’s email	JEHILL@PURDUE.EDU
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	11/13/17
Organization Incorporation State	IN
Contains Limitation	Yes
Does not expressly empower	Yes
Contains dissolution	Yes
National Taxonomy of Exempt Entities (NTEE) code	B90 - Educational Services and Schools - Other
Organization’s purpose	Charitable: No 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	Yes
Donation of funds	Yes
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	JOHN HILL
Signature Title	EXECUTIVE DIRECTOR TREASURER
Signature Date	5/8/19
EIN	35-2043854
Case Number	EO-2019130-000155
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	NORTH CENTRAL INDIANA SCHOOL STUDY COUNCIL INC
Organization’s Mailing Address	100 N UNIVERSITY
City	WEST LAFAYETTE
State	IN
ZIP	47907
Accounting period End	12
Primary contact name	JOHN E HILL
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00