| Field | Data |
|---|---|
| EIN | 46-1693800 |
| Case Number | EO-2015286-000266 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CLUBHOUSE INDIANA INC |
| Organization’s Mailing Address | 114 S FIFTH ST |
| City | GOSHEN |
| State | IN |
| ZIP | 46528-3712 |
| Accounting period End | 6 |
| Primary contact name | BRIAN FESKO |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
ANDY WILSON
CHAIRPERSON
3327 LAKE AVE
FORT WAYNE IN 46805-5529
RICH MEYER
TREASURER
114 S FIFTH ST
GOSHEN IN 46528-3712
BRIAN FESKO
SECRETARY
8555 TAFT ST
MERRILLVILLE IN 46410-6123
| Organization’s website | WWW.CLUBHOUSEINDIANA.ORG |
|---|---|
| Organization’s email | INFO@CLUBHOUSEINDIANA.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/7/2013 |
| Organization Incorporation State | IN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F12 - Fund Raising and/or Fund Distribution |
| 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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