FORM 1023-EZ for LAFAYETTE INDIANA PICKLEBALL ASSOCIATION INC

Field Data
EIN 81-4327786
Case Number EO-2017009-000368
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAFAYETTE INDIANA PICKLEBALL ASSOCIATION INC
Organization’s Mailing Address 663 N ADMIRALS POINT DRIVE
City LAFAYETTE
State IN
ZIP 47909
Accounting period End 12
Primary contact name LORA BRAMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE SMITH
PRESIDENT
663 N ADMIRALS POINT DRIVE
LAFAYETTE IN 47909

Officer/Director/Trustee Two

PAULA ELMORE
VICE PRESIDENT
4619 E FOXMOOR LANE
LAFAYETTE IN 47905

Officer/Director/Trustee Three

STU MATHIS
TREASURER
1731 HEMLOCK ROAD
LAFAYETTE IN 47905

Officer/Director/Trustee Four

JANICE DUPRE
SECRETARY
9021 E 200 N
LAFAYETTE IN 47905

Officer/Director/Trustee Five

LORA BRAMER
DIRECTOR
2033 WINDFLOWER PLACE
WEST LAFAYETTE IN 47906

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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