FORM 1023-EZ for INDY ELITE PANTHERS INC

Field Data
EIN 83-3729190
Case Number EO-2019070-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INDY ELITE PANTHERS INC
Organization’s Mailing Address 1238 SALEM CREEK BOULEVARD
City INDIANAPOLIS
State IN
ZIP 46231
Accounting period End 12
Primary contact name MARK WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK WHITE
PRESIDENT/DIRECTOR
1238 SALEM CREEK BOULEVARD
INDIANAPOLIS IN 46231

Officer/Director/Trustee Two

RANDY WESTIN
TREASURER/DIRECTOR
1238 SALEM CREEK BOULEVARD
INDIANAPOLIS IN 46231

Officer/Director/Trustee Three

RENATTA WHITE
SECRETARY/DIRECTOR
1238 SALEM CREEK BOULEVARD
INDIANAPOLIS IN 46231

Officer/Director/Trustee Four

CLINT REED
BOARD MEMBER/DIRECTOR
1238 SALEM CREEK BOULEVARD
INDIANAPOLIS IN 46231

Officer/Director/Trustee Five

LIZ DIXON
BOARD MEMBER/DIRECTOR
1238 SALEM CREEK BOULEVARD
INDIANAPOLIS IN 46231

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 MARK WHITE
Signature Title PRESIDENT/DIRECTOR
Signature Date 3/8/19

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