FORM 1023-EZ for LAKE DALECARLIAWOMANS CLUB INC

Field Data
EIN 47-2221862
Case Number EO-2014328-000156
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKE DALECARLIAWOMANS CLUB INC
Organization’s Mailing Address 15526 TRUMAN ST
City LOWELL
State IN
ZIP 46356
Accounting period End 12
Primary contact name SHARON PERCY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GEANE ANDERSON
PRESIDENT
221 ISLAND DR
LOWELL IN 46356

Officer/Director/Trustee Two

SHARON PERCY
VICE PRESIDENT
15526 TRUMAN ST
LOWELL IN 46356

Officer/Director/Trustee Three

SHELLY DAVIDSON
SECRETARY
4865 W MAIN
LOWELL IN 46356

Officer/Director/Trustee Four

GINNY FEYES
TREASURER
5609 W 154TH CT
LOWELL IN 46356

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2014
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S81 - Women's Service Clubs
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 Yes
One Third Support Gifts No
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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