FORM 1023-EZ for VINE INITIATIVE INC

Field Data
EIN 84-3165418
Case Number EO-2019277-000489
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VINE INITIATIVE INC
Organization’s Mailing Address 1533 S RIVERWOOD DRIVE
City WABASH
State IN
ZIP 46992-9790
Accounting period End 12
Primary contact name JOHN N PHILIPPSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEVI NKWOCHA
PRESIDENT
207 N CASS STREET
WABASH IN 46992-2441

Officer/Director/Trustee Two

JOHN PHILIPPSEN
TREASURER
1533 S RIVERWOOD DRIVE
WABASH IN 46992-9790

Officer/Director/Trustee Three

LINDA CAMPBELL
SECRETARY
3105 S MERIDIAN ROAD
WABASH IN 46992

Officer/Director/Trustee Four

DEWEY SMITH
DIRECTOR
381 EAST 50 NORTH
WABASH IN 46992-9040

Officer/Director/Trustee Five

ANGEL SHEAR
DIRECTOR
3614 EAST 400 NORTH
LAGRO IN 46941-9645

Organization’s website N/A
Organization’s email JOHNPHIL74@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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 JOHN PHILIPPSEN
Signature Title TREASURER
Signature Date 9/30/19

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