FORM 1023-EZ for COMBAT VETERANS MOTORCYCLE ASSOCIATION INDIANA

Field Data
EIN 83-1975402
Case Number EO-2019038-000004
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMBAT VETERANS MOTORCYCLE ASSOCIATION INDIANA
Organization’s Mailing Address 9450 EAST 59TH STREET
City LAWRENCE
State IN
ZIP 46216
Accounting period End 12
Primary contact name JOHN HIGGINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN HIGGINS
STATE REPRESENTATIVE
56 CASCO DR
AVON IN 46123

Officer/Director/Trustee Two

LARRY SHIELDS
STATE SERGEANT AT ARMS
424 SOUTH 23RD STREET
TERRE HAUTE IN 47803

Officer/Director/Trustee Three

TARA MADISON
STATE QUARTERMASTER
1948 NORTH STOP 18 STREET
TERRE HAUTE IN 47803

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance Yes
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 HIGGINS
Signature Title STATE REPRESENTATIVE
Signature Date 1/28/19

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