FORM 1023-EZ for SUMMER OF SERVICE

Field Data
EIN 83-3090390
Case Number EO-2019035-000571
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUMMER OF SERVICE
Organization’s Mailing Address 921 WOODHOUSE DR
City MISHAWAKA
State IN
ZIP 46544
Accounting period End 12
Primary contact name ERIN SIMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA SIMPSON
DIRECTOR
921 WOODHOUSE DR
MISHAWAKA IN 46544

Officer/Director/Trustee Two

MARK SCHWING
OUTREACH COORDINATOR
60844 LILAC RD
SOUTH BEND IN 46614

Officer/Director/Trustee Three

LORI FISHER
MEDICAL COORDINATOR
50680 CANYON LANE
GRANGER IN 46530

Officer/Director/Trustee Four

CHRISTIAN BRENNER
SERVICE COORDINATOR
622 N MASON ST
MISHAWAKA IN 46544

Officer/Director/Trustee Five

ERIN SIMPSON
REGISTRATION COORDINATOR
921 WOODHOUSE DR
MISHAWAKA IN 46544

Organization’s website SUMMEROFSERVICE.NET
Organization’s email MICHIANASOS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: Yes
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 ERIN SIMPSON
Signature Title REGISTRATION COORDINATOR
Signature Date 1/10/19

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