FORM 1023-EZ for NO CEDAR LAKE ANNEX

Field Data
EIN 47-2999660
Case Number EO-2015036-000240
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NO CEDAR LAKE ANNEX
Organization’s Mailing Address 13650 WICKER AVE
City CEDAR LAKE
State IN
ZIP 46303
Accounting period End 12
Primary contact name ELIZABETH CANTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN SORENESEN
PRESIDENT
10304 W 173RD AVE
CEDAR LAKE IN 46303

Officer/Director/Trustee Two

DALE HUSEMAN
DIRECTOR
10822 W 157TH
CEDAR LAKE IN 46303

Officer/Director/Trustee Three

ADELBERT BELL
SECRETARY
16007 DELMAR COURT
LOWELL IN 46356

Officer/Director/Trustee Four

ELIZABETH CANTY
TREASURER
13650 WICKER AVE
CEDAR LAKE IN 46303

Officer/Director/Trustee Five

JAMES METRO
DIRECTOR
14822 WICKER AVE
CEDAR LAKE IN 46303

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2015
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S22 - Neighborhood, Block Associations
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
Signature Title
Signature Date

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