FORM 1023-EZ for DRIVE SOBER INCORPERATED

Field Data
EIN 46-1215583
Case Number EO-2016202-000322
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DRIVE SOBER INCORPERATED
Organization’s Mailing Address 2632 NORTH 9TH STREET ROAD SUITE D
City LAFAYETTE
State IN
ZIP 47904-1052
Accounting period End 12
Primary contact name CHRISTAL RAMIERZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAN TOWERY
PRESIDENT
3241 SOLDIERS HOME ROAD
WEST LAFAYETTE IN 47906-1217

Officer/Director/Trustee Two

HARRY MIZE
VICE PRESIDENT
1510 N 10TH STREET
LAFAYETTE IN 47904-1369

Officer/Director/Trustee Three

SHERRY HOCKERMAN
TRUSTEE
2533 NEWMAN ROAD
WEST LAFAYETTE IN 47906-4537

Officer/Director/Trustee Four

CHRISTAL RAMIREZ
SECRETARY
4951 NORTH 50 WEST
WEST LAFAYETTE IN 47906-9602

Officer/Director/Trustee Five

JUAN GOMEZ
ACCOUNTANT
2149 ULEN LANE
LAFAYETTE IN 47904-1665

Organization’s website WWW.DRIVESOBERINC.ORG
Organization’s email CHRISTAL@DRIVESOBERINC.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2012
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 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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