FORM 1023-EZ for CRACKAWAY DAZE II INC

Field Data
EIN 47-1517180
Case Number EO-2016027-000175
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CRACKAWAY DAZE II INC
Organization’s Mailing Address 3156S CO RD 850 E
City GREENSBURG
State IN
ZIP 47240
Accounting period End 12
Primary contact name GARY CORNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL WALTERMAN
PRESIDENT CHAIRMAN
7857 E CO RD 50 N
GREENSBURG IN 47240

Officer/Director/Trustee Two

GARY CORNETT
TREASURER
3156 S CO RD 850
GREENSBURG IN 47240

Officer/Director/Trustee Three

SHARON WALTERMAN
SECRETARY
7857 E CO RD 50 N
GREENSBURG IN 47240

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2004
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
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 Yes
Gaming Activity Yes
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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