FORM 1023-EZ for INDIANA MUSKIES CHAPTER 49 OF MUSKIES INC

Field Data
EIN 84-4162674
Case Number EO-2021082-000726
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INDIANA MUSKIES CHAPTER 49 OF MUSKIES INC
Organization’s Mailing Address 6155 COUNTYLINE RD
City HOBART
State IN
ZIP 46342
Accounting period End 12
Primary contact name JOHN F DOBRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN DOBRY
PRESIDENT AND DIRECTOR
6155 COUNTYLINE RD
HOBART IN 46342

Officer/Director/Trustee Two

RANDY MEAD
TREASURER AND DIRECTOR
1130 S BEACON RD
KENDALLVILLE IN 46755

Officer/Director/Trustee Three

GARRETT GRAHAM
1ST VICE PRESIDENT AND DIRECTOR
1059 RIGG RD
VALPARAISO IN 46383

Officer/Director/Trustee Four

SCOTT LAW
2ND VICE PRESIDENT AND DIRECTOR
10707 FIRELIGHT CT
NOBLESVILLE IN 46060

Officer/Director/Trustee Five

FRED DOBRY
SECRETARY AND DIRECTOR
5040 W 91ST
CROWN POINT IN 46307

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2001
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
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 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 Yes
Correctness Declaration Yes
Signature Name JOHN DOBRY
Signature Title PRESIDENT AND DIRECTOR
Signature Date 2/1/2021

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