FORM 1023-EZ for NORTHERN INDIANA ELITE INC

Field Data
EIN 46-0872251
Case Number EO-2015049-000096
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHERN INDIANA ELITE INC
Organization’s Mailing Address 426 NORTH LAFONTAIN
City HUNTINGTON
State IN
ZIP 46750
Accounting period End 12
Primary contact name MARK GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK GREEN
PRESIDENT
426 NORTH LAFONTAIN
HUNTINGTON IN 46750

Officer/Director/Trustee Two

JEFF ROACH
SECRETARY
14326 WHITETALE RUND
LEO IN 46765

Officer/Director/Trustee Three

R DAVID BOYER II
DIRECTOR
9824 WINCHESTER RD
FORT WAYNE IN 46802

Officer/Director/Trustee Four

CHRIS STORIE
DIRECTOR
2920 E 630 N
HUNTINGTON IN 46750

Officer/Director/Trustee Five

JEFF MCCUTCHEON
DIRECTOR
576 FREDERICK CROSSING
ROANOKE IN 46783

Organization’s website WWW.LEAGUELINEUP.COM/NORTHERNINDIANAELITE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/2014
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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