FORM 1023-EZ for FIFTY CLUB OF FISHERS INC

Field Data
EIN 81-4128247
Case Number EO-2017030-000465
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FIFTY CLUB OF FISHERS INC
Organization’s Mailing Address 11999 TALNUCK CIRCLE
City FISHERS
State IN
ZIP 46037
Accounting period End 12
Primary contact name STEVEN LUTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES RATLIFF
PRESIDENT
11999 TALNUCK CIRCLE
FISHERS IN 46037

Officer/Director/Trustee Two

RICHARD BLOCK
TREASURER
12241 TALON TRACE
FISHERS IN 46037

Officer/Director/Trustee Three

STEVEN LUTZ
SECRETARY
TWO NORTH NINTH STREET
NOBLESVILLE IN 46060

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 No
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 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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