FORM 1023-EZ for A GIVING TREE MISSION INC

Field Data
EIN 81-4149503
Case Number EO-2016295-000177
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A GIVING TREE MISSION INC
Organization’s Mailing Address 206 W MAIN ST
City WESTFIELD
State IN
ZIP 46032
Accounting period End 12
Primary contact name DONNIE R STILTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNIE STILTS
CEO
15105 ROMALONG LANE
CARMEL IN 46032

Officer/Director/Trustee Two

BARRY WAITS
TREASURER
24 SHADY LANE
WESTFIELD IN 46074

Officer/Director/Trustee Three

JAMES VARNHAGEN
CHAIRMAN
12636 BANBURY CIRCLE
CARMEL IN 46033

Officer/Director/Trustee Four

CHRIS BARHAM
VICE CHAIRMAN
548 MCNAMARA COURT
CARMEL IN 46032

Officer/Director/Trustee Five

BRAD RUGGLES
DIRECTOR
17717 WILLOW CREEK WAY
WESTFIELD IN 46074

Organization’s website WWW.AGIVINGTREE.INFO
Organization’s email DSTILTS1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/23/2015
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
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 Yes
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
Signature Title
Signature Date

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