FORM 1023-EZ for SSASC INC

Field Data
EIN 81-3473585
Case Number EO-2017037-000442
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SSASC INC
Organization’s Mailing Address 278 W 875 N
City VALPARAISO
State IN
ZIP 46385
Accounting period End 6
Primary contact name PEGGY STULTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER SHIKANY
CHAIRPERSON
2457 SAGER ROAD
VALPARAISO IN 46383

Officer/Director/Trustee Two

RHEANNA BOENDER
SECRETARY
733 CYRUS STREET-A
VALPARAISO IN 46383

Officer/Director/Trustee Three

REBECCA GOULD
TREASURER
465 SOUTHFIELD LANE
VALPARAISO IN 46385

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: No
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 Yes
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
Signature Title
Signature Date

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