FORM 1023-EZ for LWC 22-INDIANA WEIGHTLIFTING COMMITTEE INCORPORATED

Field Data
EIN 81-1278132
Case Number EO-2018337-000501
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LWC 22-INDIANA WEIGHTLIFTING COMMITTEE INCORPORATED
Organization’s Mailing Address 11121 MARION COURT
City CROWN POINT
State IN
ZIP 46307
Accounting period End 1
Primary contact name MARK GARRETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK GARRETT
TREASURER
11121 MARION COURT
CROWN POINT IN 46307

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/16
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARK GARRETT
Signature Title TREASURER
Signature Date 12/1/18
EIN 81-1278132
Case Number EO-2016069-000156
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LWC 22-INDIANA LOCAL WEIGHTLIFTINGCOMMITTEE INCORPORATED
Organization’s Mailing Address 11121 MARION COURT
City CROWN POINT
State IN
ZIP 46307
Accounting period End 3
Primary contact name MARK GARRETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WIL FLEMING
PRESIDENT
3205 FULLERTON PIKE
BLOOMINGTON IN 47403

Officer/Director/Trustee Two

MARK GARRETT
TREASURER
11121 MARION COURT
CROWN POINT IN 46307

Officer/Director/Trustee Three

DAN BROWN
BOARD OF DIRECTORS
500 NORTH MERIDIAN
INDIANAPOLIS IN 46024

Officer/Director/Trustee Four

GREG SIMMONS
BOARD OF DIRECTORS
3488 SOUTH GLASGOW CIRCLE
BLOOMINGTON IN 47403

Officer/Director/Trustee Five

JEFF EDWARDS
ATHLETE REP. BOD
5870 PRIMROSE AVENUE
INDIANAPOLIS IN 46220

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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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