FORM 1023-EZ for TOPS IN 179 TERRE HAUTE

Field Data
EIN 61-1680579
Case Number EO-2016214-000303
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TOPS IN 179 TERRE HAUTE
Organization’s Mailing Address 2467 S 19TH STREET
City TERRE HAUTE
State IN
ZIP 47802
Accounting period End 3
Primary contact name JOANNE BIZOT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOANNE BIZOT
LEADER
2467 S 19TH STREET
TERRE HAUTE IN 47802

Officer/Director/Trustee Two

KENNA HITTLE
TREASURER
2380 N STOP 18 STREET
TERRE HAUTE IN 47803

Officer/Director/Trustee Three

KIM STARK
CO-LEADER
1415 S 8TH STREET
TERRE HAUTE IN 47802

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2015
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: 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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