FORM 1023-EZ for THE VINEYARD FORT WAYNE

Field Data
EIN 86-1603498
Case Number EO-2021078-001142
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE VINEYARD FORT WAYNE
Organization’s Mailing Address 5019 OAK CREEK COURT
City FORT WAYNE
State IN
ZIP 46835
Accounting period End 12
Primary contact name ZACH GAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZACH GAY
PRESIDENT
5019 OAK CREEK COURT
FORT WAYNE IN 46835

Officer/Director/Trustee Two

TINA GAY
TREASURER
5019 OAK CREEK COURT
FORT WAYNE IN 46835

Officer/Director/Trustee Three

TRAVIS CONKLIN
VICE PRESIDENT
2616 PEDDLERS VILLAGE RD SUITE 2
GOSHEN IN 46526

Officer/Director/Trustee Four

BILL RICE
DIRECTOR
2616 PEDDLERS VILLAGE RD SUITE 2
GOSHEN IN 46526

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/2021
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
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 ZACH GAY
Signature Title PRESIDENT
Signature Date 1/22/2021

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