FORM 1023-EZ for THE CARPENTER HOUSE INC

Field Data
EIN 82-2285816
Case Number EO-2017209-000409
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CARPENTER HOUSE INC
Organization’s Mailing Address 103 CRYSTAL HEIGHTS BLVD
City MIDDLEBURY
State IN
ZIP 46540
Accounting period End 12
Primary contact name LARRY MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY MARTIN
PRESIDENT
58175 CRYSTAL SPRINGS DR
GOSHEN IN 46528

Officer/Director/Trustee Two

GLORIA MARTIN
SECRETARY
58175 CRYSTAL SPRINGS DR
GOSHEN IN 46528

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2017
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: No
Religious: Yes
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 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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