FORM 1023-EZ for COMMUNITIES IN SCHOOLS OF INDIANA

Field Data
EIN 61-1702716
Case Number EO-2016263-000421
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITIES IN SCHOOLS OF INDIANA
Organization’s Mailing Address P O BOX 11510
City INDIANAPOLIS
State IN
ZIP 46201
Accounting period End 6
Primary contact name VIVIAN ASHMAWI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VIVIAN ASHMAWI
EXECUTIVE DIRECTOR
359 S SYMONDS CREEK ROAD
ICAMBRIDGE CITY IN 47237

Officer/Director/Trustee Two

JAMES SLAVEN
PRESIDENT
3620 KOHL
LAFAYETTE IN 47909

Officer/Director/Trustee Three

MATTHEW PRUSIECKI
VICE PRESIDENT
3644 SOUTHWIND POINT
GREENWOOD IN 46142

Officer/Director/Trustee Four

PAUL MCCOY
TREASURER
555 W SYCAMORE ST
ZIONSVILLE IN 46077

Officer/Director/Trustee Five

JACQUELINE GARVEY
SECRETARY
8355 COMPTON ST
INDIANAPOLIS IN 46240

Organization’s website CISINDIANA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2013
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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