FORM 1023-EZ for HOOSIER PHENOMS INC

Field Data
EIN 86-2618325
Case Number EO-2021097-001308
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOOSIER PHENOMS INC
Organization’s Mailing Address 1298 HAZY FALLS BLVD
City WESTFIELD
State IN
ZIP 46074
Accounting period End 12
Primary contact name DAVID HAMILTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID HAMILTON
CEO
1298 HAZY FALLS BLVD
WESTFIELD IN 46074

Officer/Director/Trustee Two

JARRETT HAMILTON
VICE PRESIDENT
6280 N CEDARWOOD
MCCORDSVILLE IN 46055

Officer/Director/Trustee Three

BELINDA HAMILTON
DIRECTOR OF OPERATIONS
8615 LEPART COURT
INDIANAPOLIS IN 46278

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2021
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 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 DAVID HAMILTON
Signature Title CEO
Signature Date 3/15/2021

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