FORM 1023-EZ for HARTFORD CITY MAIN STREET INC

Field Data
EIN 82-4544999
Case Number EO-2018066-000255
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HARTFORD CITY MAIN STREET INC
Organization’s Mailing Address 121 N HIGH STREET
City HARTFORD CITY
State IN
ZIP 47348-2212
Accounting period End 12
Primary contact name BRIAN WATERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN WATERS
PRESIDENT/DIRECTOR
204 S HARTFORD STREET
EATON IN 47338

Officer/Director/Trustee Two

ZACH CROUCH
VICE PRESIDENT/DIRECTOR
4593E - 500S
HARTFORD CITY IN 47348

Officer/Director/Trustee Three

MELEAH ROBERTSON
SECRETARY/DIRECTOR
817 W PERKINS STREET
HARTFORD CITY IN 47348

Officer/Director/Trustee Four

KRISTIE JENNERJAHN
DIRECTOR
1521 N 200E
HARTFORD CITY IN 47348

Officer/Director/Trustee Five

LISA WEEKS
DIRECTOR
402 W PERKINS STREET
HARTFORD CITY IN 47348

Organization’s website N/A
Organization’s email COLTON@BLACKFORDINDIANA.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
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 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 BRIAN WATERS
Signature Title PRESIDENT/DIRECTOR
Signature Date 3/5/18

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