FORM 1023-EZ for THE LAPORTE COUNTY VETERANS TREATMENT COURT INC

Field Data
EIN 46-5180271
Case Number EO-2014269-000127
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE LAPORTE COUNTY VETERANS TREATMENT COURT INC
Organization’s Mailing Address 820 JEFFERSON AVENUE
City LAPORTE
State IN
ZIP 46350
Accounting period End 12
Primary contact name DOUGLAS L BIEGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFF DEUITCH
MEMBER MENTOR
601 LONG BEACH LANE
MICHIGAN CITY IN 46360

Officer/Director/Trustee Two

NICOLE JOHNSON
MEMBER MENTOR
1607 N 600 E
MICHIGAN CITY IN 46360

Officer/Director/Trustee Three

LARRY KOSNIK
MEMBER MENTOR
3758 S MITCHELL
LAPORTE IN 46350

Officer/Director/Trustee Four

BECKY MATANIC
MEMBER MENTOR
3213 S STATE ROAD 104
LAPORTE IN 46350

Officer/Director/Trustee Five

JIM STEMMLER
MEMBER MENTOR
2944 SUMMIT VALLEY DRIVE
LAPORTE IN 46350

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2014
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I40 - Rehabilitation Services for Offenders
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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