FORM 1023-EZ for PREEMIE AND FAMILY INC

Field Data
EIN 86-2573088
Case Number EO-2021097-000457
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PREEMIE AND FAMILY INC
Organization’s Mailing Address 2404 WARREN ST
City TERRE HAUTE
State IN
ZIP 47803
Accounting period End 3
Primary contact name GINA WALLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GINA WALLS
CHIEF EXECUTIVE OFFICER
2404 WARREN ST
TERRE HAUTE IN 47803

Officer/Director/Trustee Two

ALEXANDRIA RITCHEY
CHEF INFORMATION OFFICER
4333 NORTH 13TH ST
TERRE HAUTE IN 47805

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/2021
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 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 GINA WALLS
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 3/12/2021

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