FORM 1023-EZ for PRIDE CENTER OF TERRE HAUTE INC

Field Data
EIN 87-0824977
Case Number EO-2021146-000408
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRIDE CENTER OF TERRE HAUTE INC
Organization’s Mailing Address 630 WABASH AVENUE
City TERRE HAUTE
State IN
ZIP 47807
Accounting period End 6
Primary contact name NICHELLE CAMPBELL-MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHELLE CAMPBELL-MILLER
BOARD PRESIDENT
2324 NORTH 12TH STREET
TERRE HAUTE IN 47804

Officer/Director/Trustee Two

ANNE MAHADY
BOARD VICE PRESIDENT
2 CHICKADEE LANE
TERRE HAUTE IN 47803

Officer/Director/Trustee Three

JULIE CAMPBELL-MILLER
BOARD SECRETARY
2324 NORTH 12TH STREET
TERRE HAUTE IN 47804

Officer/Director/Trustee Four

KATHERINE LUGAR
BOARD MEMBER
1504 SOUTH CENTER STREET
TERRE HAUTE IN 47802

Officer/Director/Trustee Five

ROBYN LUGAR
TRUSTEE
1504 SOUTH CENTER STREET
TERRE HAUTE IN 47802

Organization’s website NA
Organization’s email PCTHCENTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/2021
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 NICHELLE CAMPBELL-MILLER
Signature Title BOARD PRESIDENT
Signature Date 5/24/2021

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