FORM 1023-EZ for FIELDS OF DREAMS INC

Field Data
EIN 38-3923227
Case Number EO-2021035-000027
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIELDS OF DREAMS INC
Organization’s Mailing Address 9428 MARINERS RIDGE DRIVE
City FORT WAYNE
State IN
ZIP 46819
Accounting period End 12
Primary contact name GEORGE FIELDS FOUNDER CEO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEORGE FIELDS
PRESIDENT
9428 MARINERS RIDGE DRIVE
FORT WAYNE IN 46819

Officer/Director/Trustee Two

KEITH MORRISON
VICE PRESIDENT
7527 SCARLET COURT
FORT WAYNE IN 46815

Officer/Director/Trustee Three

JUANITA WILLIAMS
SECRETARY
3405 CONTESSA DRIVE
FORT WAYNE IN 46816

Officer/Director/Trustee Four

REBECCA MITCHELL
TREASURER
16632 PRINE ROAD
FORT WAYNE IN 46798

Officer/Director/Trustee Five

MICHAEL SHAFFER
MEMBER
13201 RAVENWOOD BLVD
FORT WAYNE IN 46845

Organization’s website
Organization’s email GEORGE.FIELDS@FRONTIER.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
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 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) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name GEORGE FIELDS
Signature Title PRESIDENT
Signature Date 12/14/2020

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