FORM 1023-EZ for TRI WEST BRUIN BACKERS

Field Data
EIN 37-1864241
Case Number EO-2017215-000072
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRI WEST BRUIN BACKERS
Organization’s Mailing Address 10522 N COUNTY RD 475 W
City LIZTON
State IN
ZIP 46149
Accounting period End 12
Primary contact name TAMMY SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY WATSON
PRESIDENT
23 HOLLAWAY BLVD
BROWNSBURG IN 46112

Officer/Director/Trustee Two

AMY CHINN
VICE PRESIDENT
4605 DEVONSHIRE DR
PITTSBORO IN 46167

Officer/Director/Trustee Three

LISA BLAKE
SECRETARY
5115 E COUNTY ROAD 750 N
PITTSBORO IN 46167

Officer/Director/Trustee Four

TAMMY SMITH
TREASURER
10522 N COUNTY ROAD 475 W
LIZTON IN 46149

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/2017
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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