FORM 1023-EZ for WAKARUSA MAPLE SYRUP HERITAGE INC

Field Data
EIN 47-5308386
Case Number EO-2015289-000168
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WAKARUSA MAPLE SYRUP HERITAGE INC
Organization’s Mailing Address PO BOX 291
City WAKARUSA
State IN
ZIP 46573
Accounting period End 12
Primary contact name DEB SHIVELY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEB SHIVELY
EXECUTIVE SECRETARY
PO BOX 291
WAKARUSA IN

Officer/Director/Trustee Two

JAY KINNEY
PRESIDENT
26262 COUNTY ROAD 40
GOSHEN IN 46526

Officer/Director/Trustee Three

JENNY NEELY
VICE PRESIDENT
704 E WATERFORD ST
WAKARUSA IN

Officer/Director/Trustee Four

TODD SCHEETS
DIRECTOR
30519 COUNTY ROAD 40
WAKARUSA IN 46573

Organization’s website N/A
Organization’s email CHAMBER@WAKARUSACHAMBER.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2015
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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