FORM 1023-EZ for UPLIFT JOHNSON COUNTY INC

Field Data
EIN 85-4358964
Case Number EO-2021152-000137
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UPLIFT JOHNSON COUNTY INC
Organization’s Mailing Address 3209 SMITH VALLEY RD STE 146
City GREENWOOD
State IN
ZIP 46142
Accounting period End 12
Primary contact name MARK HATFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WENDY MCCLELLAN
INCORPORATOR
3209 SMITH VALLEY RD STE 146
GREENWOOD IN 46142

Officer/Director/Trustee Two

MARK HATFIELD
LEGAL REPRESENTATIVE
225 S EMERSON AVE STE 181
GREENWOOD IN 46143

Organization’s website
Organization’s email WMCCLELLAN1234@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 MARK HATFIELD
Signature Title LEGAL REPRESENTATIVE
Signature Date 5/28/2021

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