FORM 1023-EZ for LHS FOOTBALL MOMS INC

Field Data
EIN 83-1705856
Case Number EO-2018255-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LHS FOOTBALL MOMS INC
Organization’s Mailing Address 6035 N 900 E
City HOWE
State IN
ZIP 46746
Accounting period End 12
Primary contact name DANA ALLESHOUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA ALLESHOUSE
PRESIDENT
6035 N 900 E
HOWE IN 46746

Officer/Director/Trustee Two

STEPHANIE LOY
VICE PRESIDENT
110 GUM STREET
LAGRANGE IN 46761

Officer/Director/Trustee Three

ELISA SCHACKOW
SECRETARY/TREASURER
1245 N 060 E
LAGRANGE IN 46761

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DANA ALLESHOUSE
Signature Title PRESIDENT
Signature Date 9/10/18

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