FORM 1023-EZ for SOUTHWEST SPARTANS INC

Field Data
EIN 82-2758301
Case Number EO-2017283-000193
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHWEST SPARTANS INC
Organization’s Mailing Address 14820 FIRETHORNE PATH
City FORT WAYNE
State IN
ZIP 46814
Accounting period End 12
Primary contact name KIM DIEHM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD DIEHM
PRES
14820 FIRETHORNE PATH
FORT WAYNE IN 46814

Officer/Director/Trustee Two

KIMBERLY DIEHM
SECRETARY
14820 FIRETHORNE PATH
FORT WAYNE IN 46814

Officer/Director/Trustee Three

JOSHUA MOON
VICE PRESIDENT
3104 WALNUT RUN
FORT WAYNE IN 46814

Officer/Director/Trustee Four

SHAWN CORBETT
OFFICER
224 SPRING FOREST CT
FORT WAYNE IN 46814

Organization’s website
Organization’s email KADIEHM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/2017
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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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