FORM 1023-EZ for GRAVEYARD HC INC

Field Data
EIN 83-3573432
Case Number EO-2019050-000207
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRAVEYARD HC INC
Organization’s Mailing Address 305 E 150 N
City WASHINGTON
State IN
ZIP 47501
Accounting period End 12
Primary contact name PETE PARSONS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIE CHAPMAN
PRESIDENT
305 E 150 N
WASHINGTON IN 47501

Officer/Director/Trustee Two

BRANDON CHAPMAN
DIRECTOR
305 E 150 N
WASHINGTON IN 47501

Officer/Director/Trustee Three

QUINTEN MYERS
DIRECTOR
4585 UPPER SOUTH POINT DRIVE
LOOGOOTEE IN 47553

Officer/Director/Trustee Four

DUSTIN TROUTMAN
DIRECTOR
1511 E 735 S
WASHINGTON IN 47501

Officer/Director/Trustee Five

CAMERON RITCHIE
DIRECTOR
9815 E US HWY 50
CANNELBURG IN 47519

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 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 JULIE CHAPMAN
Signature Title PRESIDENT
Signature Date 2/14/19

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