FORM 1023-EZ for NELSON ALGREN MUSEUM OF MILLER BEACH INC

Field Data
EIN 81-4327247
Case Number EO-2016312-000482
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NELSON ALGREN MUSEUM OF MILLER BEACH INC
Organization’s Mailing Address 1130 N VIGO ST
City GARY
State IN
ZIP 46403
Accounting period End 12
Primary contact name SUSAN RUTSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEORGE ROGGE
PRESIDENT
1130 N VIGO ST
GARY IN 46403

Officer/Director/Trustee Two

SUSAN RUTSEN
SECRETARY/TREASURER
1130 N VIGO ST
GARY IN 46403

Officer/Director/Trustee Three

BRUCE AYERS
BOARD MEMBER
9101 LAKE SHORE DRIVE
GARY IN 46403

Officer/Director/Trustee Four

JUDITH AYERS
BOARD MEMBER
9101 LAKE SHORE DRIVE
GARY IN 46403

Officer/Director/Trustee Five

MARCY HUTTAS
BOARD MEMBER
321 S HENRY ST
GARY IN 46403

Organization’s website
Organization’s email SUERUTSEN@RMBGROUP.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A50 - Museum, Museum Activities
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: Yes
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
Signature Title
Signature Date

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