FORM 1023-EZ for FRIENDS OF THE OLD GYM INC

Field Data
EIN 47-2019792
Case Number EO-2014282-000433
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF THE OLD GYM INC
Organization’s Mailing Address 100 TRITON DRIVE
City BOURBON
State IN
ZIP 46504-1801
Accounting period End 12
Primary contact name TIMOTHY S SHELLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MASON MCINTYRE
PRESIDENT
100 TRITON DRIVE
BOURBON IN 46504-1801

Officer/Director/Trustee Two

CHESTER HALL JR
VP DIRECTOR
100 TRITON DRIVE
BOURBON IN 46504-1801

Officer/Director/Trustee Three

KEVIN BOYER
SEC/TREAS/DIRECTOR
100 TRITON DRIVE
BOURBON IN 46504-1801

Officer/Director/Trustee Four

DONNA BURROUGHS
DIRECTOR
100 TRITON DRIVE
BOURBON IN 46504-1801

Officer/Director/Trustee Five

CAROLYN HANLEY
DIRECTOR
100 TRITON DRIVE
BOURBON IN 46504-1801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/2014
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N31 - Community Recreational Centers
Organization’s purpose Charitable: Yes
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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