FORM 1023-EZ for MICHIANA MONOLOGUES INCORPORATED

Field Data
EIN 81-5259548
Case Number EO-2017110-000160
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MICHIANA MONOLOGUES INCORPORATED
Organization’s Mailing Address 1021 PORTAGE AVENUE
City SOUTH BEND
State IN
ZIP 46616
Accounting period End 12
Primary contact name SHELLY OVERGAARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHELLY OVERGAARD
EXECUTIVE DIRECTOR
1021 PORTAGE AVENUE
SOUTH BEND IN 46616

Officer/Director/Trustee Two

TERRI RUSS
BOARD PRESIDENT
1302 WOODWARD
SOUTH BEND IN 46616

Officer/Director/Trustee Three

STACIE BALENTINE
TREASURER
330 W COLFAX 216
SOUTH BEND IN 46601

Officer/Director/Trustee Four

JENNI JONES
SECRETARY
1951 CREEKSEDGE DRIVE
SOUTH BEND IN 46635

Organization’s website MICHIANAMONOLOGUES.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/2017
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Donation of funds Yes
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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