FORM 1023-EZ for ST JOHNS COMMUNITY CARE SERVICES

Field Data
EIN 35-2130311
Case Number EO-2015281-000273
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ST JOHNS COMMUNITY CARE SERVICES
Organization’s Mailing Address 1701 DR ANDREW J BROWN AVENUE
City INDIANAPOLIS
State IN
ZIP 46202
Accounting period End 12
Primary contact name CAROL L SNORTEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REV DR PHILLIP SHOBE
PRESIDENT
1045 KINROSS DRIVE
AVON IN 46123

Officer/Director/Trustee Two

CAROL SNORTEN
VICE PRESIDENT
2130 DANCY COURT
INDIANAPOLIS IN 46239

Officer/Director/Trustee Three

SANDRA MINOR
TREASURER
5871 E 46TH STREET
INDIANAPOLIS IN 46226

Officer/Director/Trustee Four

SHIRLEY DOBBINS
SECRETARY
4920 HILLSIDE AVENUE
INDIANAPOLIS IN 46205

Officer/Director/Trustee Five

SANDRA BROWN
BOARD MEMBER
6458 EXCALIBUR COURT
INDIANAPOLIS IN 46260

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/2001
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S01 - Alliance/Advocacy Organizations
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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