FORM 1023-EZ for THE CREIGHTON MODEL EDUCATION FOUNDATION INC

Field Data
EIN 47-4024332
Case Number EO-2015160-000281
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CREIGHTON MODEL EDUCATION FOUNDATION INC
Organization’s Mailing Address 14 N RUFUS ST
City NEW HAVEN
State IN
ZIP 46774-1162
Accounting period End 12
Primary contact name THERESA SCHORTGEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THERESA SCHORTGEN
BOARD MEMBER
146 N RUFUS ST
NEW HAVEN IN 46774-1162

Officer/Director/Trustee Two

PHILIP MARLIN
PRESIDENT
4604 KINGSBURY DR
FORT WAYNE IN 46835-4126

Officer/Director/Trustee Three

DAVID MORRIS
VICE PRESIDENT
11133 ROBERTS RD
HARLAN IN 46743-9777

Officer/Director/Trustee Four

CHRISTINE KAYSER
TREASURER
2836 N WEBSTER RD
NEW HAVEN IN 46774-9652

Officer/Director/Trustee Five

AIMEE PENN
SECRETARY
11026 MARION CENTER RD
FORT WAYNE IN 46816-9791

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/2015
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 Yes
One Third Support Gifts No
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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