FORM 1023-EZ for HOOSIER COMMUNITY INC

Field Data
EIN 47-4628807
Case Number EO-2015212-000300
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOOSIER COMMUNITY INC
Organization’s Mailing Address 555 NORTH CENTENNIAL STREET
City INDIANAPOLIS
State IN
ZIP 46222
Accounting period End 12
Primary contact name CHRISTOPHER KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BILLY PETTY
PRESIDENT
6613 FURNACE ROAD
INDIANAPOLIS IN 46221

Officer/Director/Trustee Two

RYAN PETTY
VICE PRESIDENT
1626 CHRISTOPHER LANE
SPEEDWAY IN 46224

Officer/Director/Trustee Three

CHRISTOPHER KING
SECRETARY
555 NORTH CENTENNIAL STREET
INDIANAPOLIS IN 46222

Organization’s website WWW.HOOSIERCOMMUNITY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2015
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance Yes
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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