FORM 1023-EZ for VIBRANCE CENTER OF MICHIANA

Field Data
EIN 47-3273118
Case Number EO-2016169-000168
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VIBRANCE CENTER OF MICHIANA
Organization’s Mailing Address 15894 NORTH LAKESHORE DRIVE
City GRANGER
State IN
ZIP 46530
Accounting period End 12
Primary contact name COLLEEN M KIELTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

COLLEEN KIELTON
PRESIDENT
15894 NORTH LAKESHORE DRIVE
GRANGER IN 46530

Officer/Director/Trustee Two

JOSEPH KIELTON
TREASURER
15864 NORTH LAKESHORE DRIVE
GRANGER IN 46530

Officer/Director/Trustee Three

DENNIS KIELTON
SECRETARY / VICE PRESIDENT
52165 FRIARS COURT APT D
SOUTH BEND IN 46637

Organization’s website VIBRANCECENTER.COM
Organization’s email COLLEEN@VIBRANCECENTER.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2015
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 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
Signature Title
Signature Date

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