FORM 1023-EZ for INDIANA CHAPTER OF THE AMERICAN MEDICAL WRITERS ASSOCIATION INCORPORAT

Field Data
EIN 35-2563195
Case Number EO-2016187-000140
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDIANA CHAPTER OF THE AMERICAN MEDICAL WRITERS ASSOCIATION INCORPORAT
Organization’s Mailing Address 8331 E 82ND PL
City INDIANAPOLIS
State IN
ZIP 46256-3504
Accounting period End 6
Primary contact name DAVID CALDWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA TOWN
PRESIDENT, DIRECTOR, BOARD CHAIR
8331 E 82ND PL
INDIANAPOLIS IN 46256-3504

Officer/Director/Trustee Two

NICOLETTA BIVI
TREASURER, DIRECTOR
8331 E 82ND PL
INDIANAPOLIS IN 46256-3504

Officer/Director/Trustee Three

ESTHER BROOKS-ASPLUND
PRESIDENT-ELECT, DIRECTOR
8331 E 82ND PL
INDIANAPOLIS IN 46256-3504

Officer/Director/Trustee Four

BARBARA LIGHTFOOT
DIRECTOR
8331 E 82ND PL
INDIANAPOLIS IN 46256-3504

Officer/Director/Trustee Five

DAVID CALDWELL
DIRECTOR
8331 E 82ND PL
INDIANAPOLIS IN 46256-3504

Organization’s website HTTP://WWW.HOOSIERAMWA.ORG/
Organization’s email NICOBIVI@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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