FORM 1023-EZ for CHAUTAUQUA IN THE DUNES

Field Data
EIN 83-1649148
Case Number EO-2019119-000403
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHAUTAUQUA IN THE DUNES
Organization’s Mailing Address 357A S STATE ROAD 49
City VALPARAISO
State IN
ZIP 46383
Accounting period End 12
Primary contact name BECKY JASCOVIAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA JASCOVIAK
MANAGING DIRECTOR
357A S STATE ROAD 49
VALPARAISO IN 46383

Officer/Director/Trustee Two

MICHELLE PENDERGRASS
ARTS DIRECTOR
110 W 12TH
SNYDER OK 73566

Officer/Director/Trustee Three

JARED RIDDLE
HUMANITIES DIRECTOR
3806 MONTGOMERY
HOBART IN 46342

Organization’s website WWW.DUNESCHAUTAUQUA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A70 - Humanities Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name REBECCA JASCOVIAK
Signature Title MANAGING DIRECTOR
Signature Date 4/26/19

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