FORM 1023-EZ for FRIENDS OD TIPPECANOE RIVER STATE PARK

Field Data
EIN 45-4923116
Case Number EO-2017326-000214
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OD TIPPECANOE RIVER STATE PARK
Organization’s Mailing Address 4200 NORTH US 35
City WINAMAC
State IN
ZIP 46996
Accounting period End 12
Primary contact name JACK BURGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN WHEELER
PRESIDENT
7841 S STATE ROAD 119
STAR CITY IN 46985

Officer/Director/Trustee Two

CYNTHIA SCHULTZ
TREASURER
3108 S 500 E
WINAMAC IN 46996

Officer/Director/Trustee Three

JON CHAPMAN
MEMBER
US35 NORTH
WINAMAC IN 46996

Officer/Director/Trustee Four

JACK BURGER
VICE-PRESIDENT
275 W 350 N
WINAMAC IN 46996

Officer/Director/Trustee Five

JUDY LUCKEY
SECRETARY
225 S RIVERSIDE DR
WINAMAC IN 46996

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/2012
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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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