| Field | Data |
|---|---|
| EIN | 37-1866703 |
| Case Number | EO-2017237-000058 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | AMERIPATH EMPLOYEE INITIATIVE TEAM INC |
| Organization’s Mailing Address | 2560 NORTH SHADELAND AVENUE SUITE A |
| City | INDIANAPOLIS |
| State | IN |
| ZIP | 46219 |
| Accounting period End | 12 |
| Primary contact name | JAMIE HOY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
THERESA TOPHAM
PRESIDENT
8729 STAGHORN ROAD
INDIANAPOLIS IN 46260
DELMERA KERNODLE
TREASURER
7111 WEST BRUNSWICK AVENUE
INDIANAPOLIS IN 46221
JAMIE HOY
SECRETARY
12361 CRICKET SONG LANE
NOBLESVILLE IN 46060
KALIE KEARNEY-DUNKERSON
VICE PRESIDENT
7501 EAST 51ST STREET
INDIANAPOLIS IN 46226
BRANDON GARDNER
VICE PRESIDENT
8788 KINGMEADOW COURT
INDIANAPOLIS IN 46217
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/7/2017 |
| Organization Incorporation State | IN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T70 - Fund Raising Organizations That Cross Categories |
| 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 | |
| Signature Title | |
| Signature Date |
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