FORM 1023-EZ for INDIANA CENTER FOR EMPLOYEE OWNERSHIP INC

Field Data
EIN 81-5307635
Case Number EO-2017114-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDIANA CENTER FOR EMPLOYEE OWNERSHIP INC
Organization’s Mailing Address 2760 FORTUNE CIRCLE DRIVE E 421983
City INDIANAPOLIS
State IN
ZIP 46242-1983
Accounting period End 12
Primary contact name RICHARD VAN DOEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD VAN DOEL
PRESIDENT/CEO/DIRECTOR
2760 FORTUNE CIRCLE DRIVE E 421983
INDIANAPOLIS IN 46242-1983

Officer/Director/Trustee Two

ANDREW MANCHIR
TREASURER/DIRECTOR
2760 FORTUNE CIRCLE DRIVE E 421983
INDIANAPOLIS IN 46242-1983

Officer/Director/Trustee Three

STEPHEN D SMITH
SECRETARY/DIRECTOR
2760 FORTUNE CIRCLE DRIVE E 421983
INDIANAPOLIS IN 46242-1983

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/2017
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J01 - 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 Yes
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 Yes
One Third Support Gifts No
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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