FORM 1023-EZ for LA COSTA COLOMBIA INC
| Field | Data |
|---|---|
| EIN | 83-3556387 |
| Case Number | EO-2019151-000132 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LA COSTA COLOMBIA INC |
| Organization’s Mailing Address | 7720 SURREY DR |
| City | INDIANAPOLIS |
| State | IN |
| ZIP | 46227 |
| Accounting period End | 12 |
| Primary contact name | JERRY SIZEMORE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TOM BRUNSMAN
CHAIRMAN
1429 MEADOW MOOR DR
BEAVERCREEK OH 45434
Officer/Director/Trustee Two
BILL BRUNEAU
VICE PRESIDENT
4516 WEST BURTON DR
MUNICE IN 47307
Officer/Director/Trustee Three
ROBERT WILSEY
SECRETARY
160 PINE HALLOW CT
NASHVILLE IN 47448
Officer/Director/Trustee Four
JERRY SIZEMORE
INCORPORATOR
7720 SURREY DR
INDIANAPOLIS IN 46227
| Organization’s website | |
|---|---|
| Organization’s email | LACOSTACOLOMBIA@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/12/19 |
| Organization Incorporation State | IN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X99 - Religion Related, Spiritual Development N.E.C. |
| 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 | No |
| Donation of funds | No |
| Conducting Activities Outside of United States | Yes |
| 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 | JERRY SIZEMORE |
| Signature Title | INCORPORATOR |
| Signature Date | 5/29/19 |
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