FORM 1023-EZ for CENTRAL INDIANA CHAPTER OF THE AMERICAN STATISTICAL ASSOCIATION

Field Data
EIN 35-1781393
Case Number EO-2020125-000043
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTRAL INDIANA CHAPTER OF THE AMERICAN STATISTICAL ASSOCIATION
Organization’s Mailing Address 6555 CAPRICORN DR APT 1806
City INDIANAPOLIS
State IN
ZIP 46237
Accounting period End 12
Primary contact name EDWARD BRIZENDINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMEERA WIJAYAWARDANA
PRESIDENT
7371 WINDSOR LAKES PL
INDIANAPOLIS IN 46237-8317

Officer/Director/Trustee Two

EDWARD BRIZENDINE
SECRETARY
480 VICTORIA LANE
MOORESVILLE IN 46158-2016

Officer/Director/Trustee Three

BING LIU
TREASURER
6555 CAPRICORN DR APT 1806
INDIANAPOLIS IN 46237

Organization’s website
Organization’s email ASA.CENTRAL.INDIANA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1941
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BING LIU
Signature Title TREASURER
Signature Date 4/30/2020

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