FORM 1023-EZ for INDIAN CREEK BAND BOOSTERS NINEVEH-HENSLEY-JACKSON CORPORATION

Field Data
EIN 20-0613247
Case Number EO-2019158-000265
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INDIAN CREEK BAND BOOSTERS NINEVEH-HENSLEY-JACKSON CORPORATION
Organization’s Mailing Address PO BOX 95
City TRAFALGAR
State IN
ZIP 46181
Accounting period End 6
Primary contact name ALTHEA KEYMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALTHEA KEYMON
TREASURER
7286 S 400 W
TRAFALGAR IN 46181

Officer/Director/Trustee Two

TONI WALKER
PRESIDENT
1105 W 750 S
TRAFALGAR IN 46181

Officer/Director/Trustee Three

LORA OETERS
SECRETARY
8100 S LOGWAGON ROAD
TRAFALGAR IN 46181

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/06
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALTHEA KEYMON
Signature Title TREASURER
Signature Date 6/5/19

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