FORM 1023-EZ for LITTLE ZION CEMETERY ASSOCIATION INC

Field Data
EIN 61-1436806
Case Number EO-2015028-000343
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LITTLE ZION CEMETERY ASSOCIATION INC
Organization’s Mailing Address 7451 LINCOLN TRAIL RD
City GENTRYVILLE
State IN
ZIP 47537-7825
Accounting period End 12
Primary contact name JEFFREY BAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

L DONALD PHILLIPS
DIRECTOR
7451 LINCOLN TRAIL RD
GENTRYVILLE IN 47537

Officer/Director/Trustee Two

LINDA PHILLIPS
DIRECTOR
7451 LINCOLN TRAIL RD
GENTRYVILLE IN 47537

Officer/Director/Trustee Three

LARRY PHILLIPS
DIRECTOR
P O BOX 127
BOONVILLE IN 47601

Officer/Director/Trustee Four

KENNY HELMING
DIRECTOR
P O BOX 91
TENNYSON IN 47637

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/1999
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y50 - Cemeteries, Burial Services
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 No
One Third Support Gifts Yes
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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