FORM 1023-EZ for A PHILIP RANDOLPH INSTITUTE NORTHWEST INDIANA CHAPTER

Field Data
EIN 32-0356795
Case Number EO-2019170-000121
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A PHILIP RANDOLPH INSTITUTE NORTHWEST INDIANA CHAPTER
Organization’s Mailing Address 760 PHEASANT RUN DR
City GARY
State IN
ZIP 46342
Accounting period End 12
Primary contact name RENAYE MANLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RENAYE MANLEY
RECORDING SECRETARY
760 PHEASANT RUN DR
HOBART IN 46342

Officer/Director/Trustee Two

JOHNIE BARBEE
PRESIDENT
3958 POLK ST
GARY IN 46408

Officer/Director/Trustee Three

BRENDA ENGLISH
TREASURER
1388 CLOVERLEAF RD
PORTER IN 46304

Officer/Director/Trustee Four

EPHRIN JENKINS
TRUSTEE
3848 DELAWARE
GARY IN 46409

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R20 - Civil Rights, Advocacy for Specific Groups
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 RENAYE MANLEY
Signature Title RECORDING SECRETARY
Signature Date 6/16/19

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