FORM 1023-EZ for TIE-A-THON INC

Field Data
EIN 86-3726267
Case Number EO-2021140-000232
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TIE-A-THON INC
Organization’s Mailing Address 711 FOREST AVE
City SOUTH BEND
State IN
ZIP 46616-1310
Accounting period End 12
Primary contact name TIM SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM SCOTT
DIRECTOR PRESIDENT
711 FOREST AVE
SOUTH BEND IN 46616-1310

Officer/Director/Trustee Two

DON REBER
DIRECTOR TREASURER
54724 OLD BEDFORD TRL
MISHAWAKA IN 46545-1538

Officer/Director/Trustee Three

ANN MILLER
DIRECTOR SECRETARY
140 HIGMAN PARK HL
BENTON HARBOR MI 49022-3559

Officer/Director/Trustee Four

ANDY KITSON
DIRECTOR
58053 CRYSTAL SPRINGS DR
GOSHEN IN 46528-9127

Officer/Director/Trustee Five

TERRY WITTORP
DIRECTOR
31477 COUNTY LINE RD
DOWAGIAC MI 49047-8959

Organization’s website
Organization’s email TIEATHON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/2021
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B19 - Nonmonetary Support N.E.C.
Organization’s purpose Charitable: Yes
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 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 Yes
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 TIM SCOTT
Signature Title DIRECTOR PRESIDENT
Signature Date 5/17/2021

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