FORM 1023-EZ for INDIANA IMPULSE INC

Field Data
EIN 84-3233988
Case Number EO-2019277-000878
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INDIANA IMPULSE INC
Organization’s Mailing Address 3902 E 600 S
City LAFAYETTE
State IN
ZIP 47909
Accounting period End 12
Primary contact name BETHANY RANEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NOEL RANEY
PRESIDENT
3902 E 600 S
LAFAYETTE IN 47909

Officer/Director/Trustee Two

BETHANY RANEY
VICE PRESIDENT
3902 E 600 S
LAFAYETTE IN 47909

Officer/Director/Trustee Three

ERIK MOORE
BOARD MEMBER
8136 KRONLOKKEN LANE
LAFAYETTE IN 47909

Organization’s website
Organization’s email BRANEY@SHOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 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 BETHANY RANEY
Signature Title VICE PRESIDENT
Signature Date 10/2/19

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