FORM 1023-EZ for SOUTHRIDGE HIGH SCHOOL POST PROM

Field Data
EIN 37-1552251
Case Number EO-2016260-000249
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHRIDGE HIGH SCHOOL POST PROM
Organization’s Mailing Address 1110 MAIN STREET
City HUNTINGBURG
State IN
ZIP 47542
Accounting period End 12
Primary contact name MICHELLE STETTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BILLY JO VOEGERL
PRESIDENT
9776 S 85 W
HOLLAND IN 47541

Officer/Director/Trustee Two

CAROLYNN BREWER
M
4298 WEST HOLLAND ROAD EAST
HUNTINGBURG IN 47542

Officer/Director/Trustee Three

BETH MEYER
SECRETARY
5931 WEST HOLLAND ROAD EAST
HOLLAND IN 47541

Officer/Director/Trustee Four

MICHELLE STETTER
TREASURER
816 HICKORY DR
HUNTINGBURG IN 47542

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - Single Organization Support
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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