FORM 1023-EZ for INDIANAPOLIS NORTHSIDE LIONS LIMITED

Field Data
EIN 83-3779453
Case Number EO-2019157-000337
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INDIANAPOLIS NORTHSIDE LIONS LIMITED
Organization’s Mailing Address 9548 W 650 S
City PENDLETON
State IN
ZIP 46064
Accounting period End 4
Primary contact name RAY O MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETE DARGE
PRESIDENT
19175 ENGLISH LAKE LANE
NOBLESVILLE IN 46062

Officer/Director/Trustee Two

KIP BRUNK
TREASURER
9548 W 650 S
PENDLETON IN 46064

Officer/Director/Trustee Three

TOM GHEEN
SECRETARY
23210 ANTHONY ROAD
CICERO IN 46034

Officer/Director/Trustee Four

JOSH PETERS
EXECUTIVE BOARD
10264 BEE CAMP COURT
MC CORDSVILLE IN 46055

Officer/Director/Trustee Five

JERRY ACKERMAN
EXECUTIVE BOARD
5590 W GLENVIEW DRIVE
MC CORDSVILLE IN 46055

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PETE DARGE
Signature Title PRESIDENT
Signature Date 6/4/19

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