FORM 1023-EZ for P4C PADDLE CLUB INC

Field Data
EIN 81-1804551
Case Number EO-2016246-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name P4C PADDLE CLUB INC
Organization’s Mailing Address PO BOX 634
City WARSAW
State IN
ZIP 46581-0634
Accounting period End 12
Primary contact name EDWARD ROBERTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD ROBERTS
PRESIDENT
2636 EAST PINE DRIVE
WARSAW IN 46582-8924

Officer/Director/Trustee Two

SCOTT FETTERS
VICE PRESIDENT
1017 EAST MAIN STREET
WARSAW IN 46580-3444

Officer/Director/Trustee Three

MICHELLE ROBERTS
SECRETARY
2636 EAST PINE DRIVE
WARSAW IN 46582-8924

Officer/Director/Trustee Four

LISA LEMASTERS
TREASURER
202 ESPLANADE AVENUE
WINONA LAKE IN 46590-1041

Officer/Director/Trustee Five

STACIE LIGHT
MEMBERSHIP LEAD
67 SOUTH HUNTERS RIDGE
WARSAW IN 46582-5640

Organization’s website HTTP://WWW.P4CPADDLECLUB.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
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
Signature Title
Signature Date

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