FORM 1023-EZ for INDIAN CREEK COMMUNITY ASSOCIATION INC

Field Data
EIN 45-5568961
Case Number EO-2016342-000025
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDIAN CREEK COMMUNITY ASSOCIATION INC
Organization’s Mailing Address 7725 S HARMONY RD
City BLOOMINGTON
State IN
ZIP 47403-9452
Accounting period End 12
Primary contact name CHRISTINA COURTRIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANN BRAND
PRESIDENT
7641 S HARMONY RD
BLOOMINGTON IN 47403

Officer/Director/Trustee Two

CHRISTINA COURTRIGHT
VICE PRESIDENT
7725 S HARMONY RD
BLOOMINGTON IN 47403-9452

Officer/Director/Trustee Three

ROGER TAYLOR
TREASURER
8360 W ROCK EAST RD
BLOOMINGTON IN 47403

Officer/Director/Trustee Four

JENNIFER BORLAND
SECRETARY
9725 THACKER RD
BLOOMINGTON IN 47403

Officer/Director/Trustee Five

CLARK SORENSEN
BOARD MEMBER
8099 S BREEDEN RD
BLOOMINGTON IN 47403

Organization’s website ICCAWEB.WORDPRESS.COM
Organization’s email INDIAN.CREEK.SECRETARY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2012
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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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