FORM 1023-EZ for ALLEN COUNTY NON-PUBLIC SCHOOL ASSOCIATION INC

Field Data
EIN 47-4218920
Case Number EO-2021288-000143
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALLEN COUNTY NON-PUBLIC SCHOOL ASSOCIATION INC
Organization’s Mailing Address 1601 ST JOE RIVER DRIVE
City FORT WAYNE
State IN
ZIP 46805
Accounting period End 12
Primary contact name LOIS WIDNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK MUEHL
TREASURER
1601 ST JOE RIVER DRIVE
FORT WAYNE IN 46805

Officer/Director/Trustee Two

CECILY CHANDLER
VICE PRESIDENT
3425 CRESCENT AVE
FORT WAYNE IN 46805

Officer/Director/Trustee Three

MARY EIFERT
PRESIDENT
8811 SAINT JOE ROAD
FORT WAYNE IN 46835

Officer/Director/Trustee Four

LOIS WIDNER
SECRETARY
10700 ABOITE CENTER RD
FORT WAYNE IN 46804

Organization’s website
Organization’s email LWIDNER@SEASCSFW.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/2018
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Correctness Declaration Yes
Signature Name LOIS WIDNER
Signature Title SECRETARY
Signature Date 10/13/2021
EIN 47-4218920
Case Number EO-2018317-000140
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALLEN COUNTY NON-PUBLIC SCHOOL ASSOCIATION INC
Organization’s Mailing Address 1601 ST JOE RIVER DRIVE
City FORT WAYNE
State IN
ZIP 46805
Accounting period End 12
Primary contact name JON DIZE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY EIFERT
CHAIR
8811 ST JOE RD
FORT WAYNE IN 46835

Officer/Director/Trustee Two

CECILY CHANDLER
VICE CHAIR
3425 CRESCENT AVE
FORT WAYNE IN 46805

Officer/Director/Trustee Three

LOIS WIDNER
SECRETARY
10700 ABOITE CENTER RD
FORT WAYNE IN 46804

Officer/Director/Trustee Four

MARK MUEHL
TREASURER
1601 ST JOE RIVER DR
FORT WAYNE IN 46835

Officer/Director/Trustee Five

JON DIZE
AT LARGE
7123 ALLENBROOK BLVD
FORT WAYNE IN 46835

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/15
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 JON DIZE
Signature Title AT LARGE
Signature Date 11/8/18

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