FORM 1023-EZ for OLD TOWN HILL SOUTHERN BAPTIST CHURCH

Field Data
EIN 35-6259946
Case Number EO-2017275-000692
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OLD TOWN HILL SOUTHERN BAPTIST CHURCH
Organization’s Mailing Address 3000 S BURLINGTON DR
City MUNCIE
State IN
ZIP 47302
Accounting period End 12
Primary contact name JEFFREY CONNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY CONNER
CHAIRMAN OF TRUSTEES
606 N BENNETT
MUNCIE IN 47303-4310

Officer/Director/Trustee Two

TERRIE DIMPFL
TREASURER
9500 W PRITCHARD CT
MUNCIE IN 47396-8003

Organization’s website HTTP://WWW.OLDTOWNHILL.COM/
Organization’s email OTHCHURCH2@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/2005
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: No
Religious: Yes
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 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 Yes
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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