FORM 1023-EZ for INDIANA KIDNEY FOUNDATION

Field Data
EIN 82-2187633
Case Number EO-2017201-000540
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDIANA KIDNEY FOUNDATION
Organization’s Mailing Address 911 EAST 86TH STREET SUITE 100
City INDIANAPOLIS
State IN
ZIP 46240
Accounting period End 6
Primary contact name MARGIE FORT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARGIE FORT
PRESIDENT
10845 ARVADA PLACE
FISHERS IN 46038

Officer/Director/Trustee Two

JANE ESTES
VICE PRESIDENT
5836 EAST 81ST STREET
INDIANAPOLIS IN 46250

Officer/Director/Trustee Three

CASEY ENZOR
TREASURER
12645 TREATY LINE STREET
CARMEL IN 46032

Officer/Director/Trustee Four

MARY KAY HENSLEY
SECRETARY
20 SPRUCE COURT
SCHERERVILLE IN 46375

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2014
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G44 - Kidney Disease
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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