FORM 1023-EZ for A DISCIPLES CORNER

Field Data
EIN 84-2763655
Case Number EO-2019284-000558
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A DISCIPLES CORNER
Organization’s Mailing Address 797 W BROOKVILLE ROAD
City FOUNTAINTOWN
State IN
ZIP 46130-9404
Accounting period End 7
Primary contact name JONAH THACKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONAH THACKER
CFO
6747 VALLEY RIDGE DRIVE APPARTME 3H
INDIANAPOLIS IN 46237

Officer/Director/Trustee Two

KYLER BREWER
CEO
7175 E EVANS STREET
GWYNNEVILLE IN 46144

Officer/Director/Trustee Three

ALEX JONES
PRESIDENT
619 W PR 700 N
SHELBYVILLE IN 46176

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JONAH THACKER
Signature Title CFO
Signature Date 10/9/19

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