FORM 1023-EZ for FC CAN INC

Field Data
EIN 47-4355190
Case Number EO-2015177-000296
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FC CAN INC
Organization’s Mailing Address PO BOX 74
City BROOKVILLE
State IN
ZIP 47012
Accounting period End 12
Primary contact name STEPHANIE MURRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHANIE MURRAY
PRESIDENT
11114 BROOKHAVEN ROAD
BROOKVILLE IN 47012

Officer/Director/Trustee Two

TINA HERTEL
VICE PRESIDENT
DORREL ROAD
BROOKVILLE IN 47012

Officer/Director/Trustee Three

TINA AMRHEIN
DIRECTOR
635 E 7TH
BROOKVILLE IN 47012

Officer/Director/Trustee Four

ELIZABETH RALPH
SECRETARY TREASURER
11149 BROOKHAVEN ROAD
BROOKVILLE IN 47012

Officer/Director/Trustee Five

KIRSCHELL LOVINS
DIRECTOR
9003 HIDDEN VALLEY LANE
BROOKVILLE IN 47012

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2015
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' Services
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 Yes
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
Signature Title
Signature Date

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