FORM 1023-EZ for INDIANA BLACK EXPO INC MICHIGAN CITY CHAPTER

Field Data
EIN 35-2333128
Case Number EO-2017250-000286
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDIANA BLACK EXPO INC MICHIGAN CITY CHAPTER
Organization’s Mailing Address P O BOX 8525
City MICHIGAN CITY
State IN
ZIP 46361-8525
Accounting period End 12
Primary contact name PATRICIA HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA HARRIS
BOARD PRESIDENT
107 JOHNSON ROAD
MICHIGAN CITY IN 46360

Officer/Director/Trustee Two

SCOTT PELATH
BOARD VICE PRESIDENT
1824 MANHATTEN STREET
MICHIGAN CITY IN 46360

Officer/Director/Trustee Three

EDWIN HAM
TREASURER
714 WASHINGTON PARK BLVD
MICHIGAN CITY IN 46360

Officer/Director/Trustee Four

ADRIAN WOODARD
SECRETARY
120 COOLSPRING CIRCLE
MICHIGAN CITY IN 46360

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/2008
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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