FORM 1023-EZ for CIRCLE CITY IMPACT INDY INC

Field Data
EIN 83-2321890
Case Number EO-2018302-000285
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CIRCLE CITY IMPACT INDY INC
Organization’s Mailing Address 3429 MARITIME DR
City INDIANAPOLIS
State IN
ZIP 46214
Accounting period End 12
Primary contact name DOUGLAS GEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUGLAS GEE
SECRETARY
3429 MARITIME
INDIANAPOLIS IN 46214

Officer/Director/Trustee Two

TY HUBER
PRESIDENT
19241 TRADEWINDS DR
NOBLESVILLE IN 46143

Officer/Director/Trustee Three

SUMMER HUBER
BOARD MEMEBER
812 HIATT
GREENWOOD IN 46143

Organization’s website
Organization’s email CIRCLECITYIMPACTINDY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O55 - Youth Development - Religious Leadership
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DOUGLAS GEE
Signature Title SECRETARY
Signature Date 10/25/18

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