FORM 1023-EZ for HOOSIER COMMUNITY NETWORK INC

Field Data
EIN 81-1758009
Case Number EO-2020296-000885
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOOSIER COMMUNITY NETWORK INC
Organization’s Mailing Address 5200 W MSAPLE GROVE RD
City ELLETTSVILLE
State IN
ZIP 47429
Accounting period End 12
Primary contact name KEITH DAYTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH DAYTON
PRESIDENT
5200 W MAPLE GROVE RD
ELLETTSVILLE IN 47429

Officer/Director/Trustee Two

TIM LEMPER
TREASURER
1309 E 10TH ST
BLOOMINGTON IN 47405

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S30 - Economic Development
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 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 KEITH DAYTON
Signature Title PRESIDENT
Signature Date 10/19/2020
EIN 81-1758009
Case Number EO-2016095-000367
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOOSIER COMMUNITY NETWORK INC
Organization’s Mailing Address 3210 EAST 10TH STREET NUM 8513
City BLOOMINGTON
State IN
ZIP 47408
Accounting period End 3
Primary contact name KEITH DAYTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEITH DAYTON
PRESIDENT
5200 MAPLE GROVE ROAD
ELLETTSVILLE IN 47429

Officer/Director/Trustee Two

TIMOTHY LEMPER
VICE PRESIDENT
2226 SOUTH SWEETBRIAR CIRCLE
BLOOMINGTON IN 47401

Officer/Director/Trustee Three

JOSHUA KNOPMAN
TREASURER
13048 TRAIL DUST AVE
SAN DIEGO CA 92129

Officer/Director/Trustee Four

JACK LANGSTON
SECRETARY
5243 WOODFIELD DRIVE
CARMEL IN 46033

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S30 - Economic Development
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 Yes
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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