FORM 1023-EZ for SAMUEL BRYAN CHAPTER 4119 NATIONALSOCIETY DAUGHTERS AMERICAN REVOLUTI

Field Data
EIN 35-1817032
Case Number EO-2020248-000171
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAMUEL BRYAN CHAPTER 4119 NATIONALSOCIETY DAUGHTERS AMERICAN REVOLUTI
Organization’s Mailing Address 832 MOUNT DORA LANE
City INDIANAPOLIS
State IN
ZIP 46229
Accounting period End 12
Primary contact name PATRICIA MOY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA MOY
REGENT
832 MOUNT DORA LANE
INDIANAPOLIS IN 46229-2554

Officer/Director/Trustee Two

MOLLY SANDERS
VICE REGENT
2866 STILLCREST LANE
INDIANAPOLIS IN 46217-7041

Officer/Director/Trustee Three

ELAINE RAINEY
CHAPLAIN
7530 HARTINGTON PLACE
INDIANAPOLIS IN 46259-5819

Officer/Director/Trustee Four

ERICA COSTELLO
SECRETARY
50 N ILLINOIS STREET APT 515
INDIANAPOLIS IN 46204

Officer/Director/Trustee Five

KIM SHEPHERD
REGISTRAR
1410 PARK MEADOW WAY
BEECH GROVE IN 46107-1970

Organization’s website SAMUELBRYANCHAPTERDAR.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/1990
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
Correctness Declaration Yes
Signature Name PATRICIA MOY
Signature Title REGENT
Signature Date 9/1/2020

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