FORM 1023-EZ for THE NORMAL SCHOOL FOR LIVING

Field Data
EIN 47-2161479
Case Number EO-2015026-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE NORMAL SCHOOL FOR LIVING
Organization’s Mailing Address 2920 FARNSWORTH DR
City FORT WAYNE
State IN
ZIP 46805
Accounting period End 7
Primary contact name STACI L BOUGHER ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELIZABETH MIZZELL
OFFICER
1509 CHANNEL CT
FORT WAYNE IN 46825

Officer/Director/Trustee Two

DIANNA JACKSON
OFFICER
8109 VICTORIA WOODS PL
FORT WAYNE IN 46825

Officer/Director/Trustee Three

STACI Bougher
OFFICER
1702 Alabama Ave
Fort Wayne IN 46805

Officer/Director/Trustee Four

DIANNA SPELLER
OFFICER
6001 BUNT DR
FORT WAYNE IN 46816

Officer/Director/Trustee Five

MELISSA FISHER
OFFICER
2920 FARNSWORTH DR
FORT WAYNE IN 46805

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2015
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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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