FORM 1023-EZ for TRITON CENTRAL QUARTERBACK CLUB INC

Field Data
EIN 46-0642576
Case Number EO-2017163-000239
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRITON CENTRAL QUARTERBACK CLUB INC
Organization’s Mailing Address 4774 W 600 N
City FAIRLAND
State IN
ZIP 46126-9463
Accounting period End 6
Primary contact name STEPHANIE ALFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE BECKHAM
PRESIDENT
2945 W 400 N
SHELBYVILLE IN 46176-9731

Officer/Director/Trustee Two

DAWNYEL BALDRIDGE
TREASURE
2785 W 1100 N
FOUNTAINTOWN IN 46130

Officer/Director/Trustee Three

MARY JO EARL
SECRETARY
1626 N 325 W
SHELBYVILLE IN 46176-9707

Officer/Director/Trustee Four

STEPHANIE ALFORD
ASSISTANT
9772 N MULBERRY ST
FAIRLAND IN 46126

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2012
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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