FORM 1023-EZ for COVER ME

Field Data
EIN 45-5023679
Case Number EO-2018044-000234
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COVER ME
Organization’s Mailing Address 1330 SADDLEBROOK CIRCLE 51K
City INDIANAPOLIS
State IN
ZIP 46228
Accounting period End 12
Primary contact name JONI D CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONI CLARK
DIRECTOR
1330 SADDLEBROOK CIR 51K
INDIANAPOLIS IN 46228

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/12
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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 JONI CLARK
Signature Title DIRECTOR
Signature Date 2/11/18

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