FORM 1023-EZ for INDIANA SOCIETY OF PERIANESTHESIA NURSES INSPAN

Field Data
EIN 83-2899290
Case Number EO-2019036-000852
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INDIANA SOCIETY OF PERIANESTHESIA NURSES INSPAN
Organization’s Mailing Address 401 E HAUB STREET PO BOX 303
City HAUBSTADT
State IN
ZIP 47639
Accounting period End 6
Primary contact name MARY DOERNER DNP RN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH SCALES
INSPAN PRESIDENT
3050 BEELER AVENUE
INDIANAPOLIS IN 46224

Officer/Director/Trustee Two

MARY BAIRD
PRESIDENT-ELECT INSPAN
127 EDEN COURT
VALPARAISO IN 46383

Officer/Director/Trustee Three

SUSAN SYNDER
SECRETARY INSPAN
5082 WEST SCOTT DRIVE
GREENWOOD IN 46142

Officer/Director/Trustee Four

MARY DOERNER
INSPAN TREASURER
401 EAST HAUB STREET PO BOX 303
HAUBSTADT IN 47639

Officer/Director/Trustee Five

BRENDA TOTH
IMMEDIATE PAST PRESIDENT INSPAN
1943 BIRCHWOOD COURT
MUNSTER IN 46321

Organization’s website INSPAN.NURSINGNETWORK.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/82
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARY DOERNER
Signature Title INSPAN TREASURER
Signature Date 1/21/19

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