FORM 1023-EZ for TIFFANYS PLACE CORP

Field Data
EIN 87-1887269
Case Number EO-2021253-000185
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TIFFANYS PLACE CORP
Organization’s Mailing Address 3206 TAFT RD
City NEW WASHINGTON
State IN
ZIP 47162
Accounting period End 12
Primary contact name LAUREN CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAUREN CAMPBELL
PRESIDENT & DIRECTOR
3206 TAFT RD
NEW WASHINGTON IN 47162

Officer/Director/Trustee Two

CHAUNCEY BURNETT
TREASURER
2729 BROWNSBURO RD 7
LOUISVILLE KY 40206

Officer/Director/Trustee Three

BRANDY GRIGSBY
SECRETARY
309 E MAIN ST
NEW WASHINGTON IN 47162

Officer/Director/Trustee Four

HEATHER HENLEY
DIRECTOR
810 E 7TH STREET
JEFFERSONVILLE IN 47162

Officer/Director/Trustee Five

CHRISTOPHER CAMPBELL
DIRECTOR
3206 TAFT RD
NEW WASHINGTON IN 47162

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2021
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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 LAUREN CAMPBELL
Signature Title PRESIDENT & DIRECTOR
Signature Date 9/8/2021

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