FORM 1023-EZ for HOOSIER FIX INC

Field Data
EIN 85-3086391
Case Number EO-2021026-000279
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOOSIER FIX INC
Organization’s Mailing Address 13063 TRADD STREET
City CARMEL
State IN
ZIP 46032
Accounting period End 12
Primary contact name JAMIE ELLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JILL ELLIS
PRESIDENT/DIRECTOR
13063 TRADD STREET
CARMEL IN 46032

Officer/Director/Trustee Two

JAMIE ELLIS
TREASURER/DIRECTOR
13063 TRADD STREET
CARMEL IN 46032

Officer/Director/Trustee Three

CLAIRE BARBER
SECRETARY/DIRECTOR
689 PRO MED LANE
CARMEL IN 46032

Organization’s website WWW.HOOSIERFIX.COM
Organization’s email JILLEELLIS@ME.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JILL ELLIS
Signature Title PRESIDENT/DIRECTOR
Signature Date 12/1/2020

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