FORM 1023-EZ for HOOSIER CORNERS SQUARE DANCE CLUB INC

Field Data
EIN 82-1766189
Case Number EO-2018299-000150
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOOSIER CORNERS SQUARE DANCE CLUB INC
Organization’s Mailing Address 428 E FARLOW RD
City RICHMOND
State IN
ZIP 47374
Accounting period End 12
Primary contact name MARGARET SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICK FULAYTAR
PRESIDENT
2820 ALEXANDRIA PIKE
ANDERSON IN 46012

Officer/Director/Trustee Two

CINDY PEPPIN
VICE PRESIDENT
3103 AIRPORT RD
CENTERVILLE IN 47330

Officer/Director/Trustee Three

MARY FREELAND
SECRETARY
6161 CART RD
RICHMOND IN 47374

Officer/Director/Trustee Four

ADAM LYELL
TREASURER
SOUTH 18TH ST
RICHMOND IN 47374

Officer/Director/Trustee Five

MARGY SMITH
ASST TREASURER
428 E FARLOW RD
RICHMOND IN 47374

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/88
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARGY SMITH
Signature Title ASST TREASURER
Signature Date 10/24/18

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