FORM 1023-EZ for BARGERSVILLE MAIN STREET CORP

Field Data
EIN 47-5369808
Case Number EO-2015317-000263
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BARGERSVILLE MAIN STREET CORP
Organization’s Mailing Address 68 MAIN STREET
City BARGERSVILLE
State IN
ZIP 46106
Accounting period End 12
Primary contact name WILLIAM E GORMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRENDA BURKHART
TREASURER
4129 S 800 W
MORGANTOWN IN 46160

Officer/Director/Trustee Two

SUSAN QUALLS
SECRETARY
4207 N RD 500 W
BARGERSVILLE IN 46106

Officer/Director/Trustee Three

JEFF BECK
VICE PRESIDENT
4660 N RD 725 WEST
BARGERSVILLE IN 46106

Officer/Director/Trustee Four

WILLIAM INABNITT
PRESIDENT
68 MAIN STREET
BARGERSVILLE IN 46106

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/2015
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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
Signature Title
Signature Date

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