FORM 1023-EZ for CAMBIARTE INC

Field Data
EIN 82-4961268
Case Number EO-2018141-000498
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMBIARTE INC
Organization’s Mailing Address 11172 ASHLEY PLACE
City FISHERS
State IN
ZIP 46038-2231
Accounting period End 12
Primary contact name CARL BARTENHAGEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL FERNANE
PRESIDENT
11172 ASHLEY PLACE
FISHERS IN 46038-2231

Officer/Director/Trustee Two

CARL BARTENHAGEN
TREASURE
17465 RIVIERA DR
OMAHA NE 68130-1992

Officer/Director/Trustee Three

LINDSEY BAUMER
SECRETARY
6415 BUTTONWOOD
NOBLESVILLE IN 46062-9148

Officer/Director/Trustee Four

BRAD KING
VICE-PRESIDENT
3443 S 161 ST
OMAHA NE 68130-2129

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAUL FERNANE
Signature Title PRESIDENT
Signature Date 5/18/18

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