FORM 1023-EZ for INDIAN CREEK YOUTH SHOOTING

Field Data
EIN 47-4106041
Case Number EO-2015149-000417
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDIAN CREEK YOUTH SHOOTING
Organization’s Mailing Address 5950 GUN CLUB ROAD NE
City GEORGETOWN
State IN
ZIP 47122
Accounting period End 12
Primary contact name JASON SEITZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON SEITZ
PRESIDENT
5875 GUN CLUB ROAD NE
GEORGETOWN IN 47122

Officer/Director/Trustee Two

WANDA SEITZ
VICE-PRESIDENT
5948 GUN CLUB ROAD NE
GEORGETOWN IN 47122

Officer/Director/Trustee Three

TAMMY SEITZ
SECRETARY/TREASURER
5875 GUN CLUB ROAD NE
GEORGETOWN IN 47122

Officer/Director/Trustee Four

MICKI JENKINS
DIRECTOR
5868 GUN CLUB ROAD NE
GEORGETOWN IN 47122

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2015
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting 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 Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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