FORM 1023-EZ for UKRAINE STUDENT HOPE

Field Data
EIN 80-0314879
Case Number EO-2015257-000515
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UKRAINE STUDENT HOPE
Organization’s Mailing Address PO BOX 992
City ANDERSON
State IN
ZIP 46015
Accounting period End 12
Primary contact name KRISTIN CAMP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KRISTIN CAMP
EXECUTIVE DIRECTOR
1123 MARYLAND DR
ANDERSON IN 46011

Officer/Director/Trustee Two

STEFFANIE RHINESMITH
CHAIRMAN/DIRECTOR
5770 KILMER LANE
INDIANAPOLIS IN 46250

Officer/Director/Trustee Three

KARL GRADDY
TREASURER/DIRECTOR
2417 HIGHLAND ROAD
ANDERSON IN 46012

Officer/Director/Trustee Four

AMY ROBINSON
SECRETARY/DIRECTOR
2904 SOUTH DALE COURT
BLOOMINGTON IN 47401

Officer/Director/Trustee Five

GARY CHADWICK
DIRECTOR
2912 NW 104 COURT APARTMENT 4
GAINESVILLE FL 32606

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2013
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
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
Signature Title
Signature Date

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