FORM 1023-EZ for THE TRIBE OF THE WHITETOP BAND OF NATIVE INDIANS INCORPORATED

Field Data
EIN 46-3596983
Case Number EO-2016350-000371
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE TRIBE OF THE WHITETOP BAND OF NATIVE INDIANS INCORPORATED
Organization’s Mailing Address 1177 SHIB BRANCH ROAD
City MANCHESTER
State KY
ZIP 40962
Accounting period End 12
Primary contact name JAMES SIZEMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

W BRAD GROOM
CHAIRMAN
1527 WESTWOOD CIRCLE
MUSKEGON MI 49441

Officer/Director/Trustee Two

JAMES SIZEMORE
CHIEF
1177 SHIB BRANCH ROAD
MANCHESTER KY 40962

Officer/Director/Trustee Three

DEBORAH FOSTER
SECRETARY
9800 SNYDER CHURCH ROAD NW
BALTIMORE OH 43105

Officer/Director/Trustee Four

LESLIE SIZEMORE
TREASURER
2110 HY 472
MANCHESTER KY 40962

Officer/Director/Trustee Five

LEONARD RINEHOLT
HISTORIAN
3720 DAVIDSBURG RD LOT C-19
DOVER PA 17315

Organization’s website WWW.WHITETOPTRIBE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2013
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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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