FORM 1023-EZ for ONE ROOM SCHOOL HOUSE 3 - 1875 INC

Field Data
EIN 83-1994431
Case Number EO-2018269-000234
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ONE ROOM SCHOOL HOUSE 3 - 1875 INC
Organization’s Mailing Address 6121 S COUNTY ROAD 200 W
City MUNCIE
State IN
ZIP 47302
Accounting period End 12
Primary contact name BIRGIT MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NORMAN MILLER
PRESIDENT
6121 S COUNTY ROAD 200 W
MUNCIE IN 47302

Officer/Director/Trustee Two

BIRGIT MILLER
VICE PRESIDENT & TREASURER
1056 S YACHTSMAN DR
SANIBEL FL 33957

Officer/Director/Trustee Three

KARIN MILLER
SECRETARY
34326 MAFFITT LAKE RD
CUMMING IA 50061

Officer/Director/Trustee Four

THOR MILLER
DIRECTOR
7036 N PENNSYLVANIA
INDIANAPOLIS IN 46220

Officer/Director/Trustee Five

KURT MILLER
DIRECTOR
815 N CALIFORNIA ST
INDIANAPOLIS IN 46202

Organization’s website
Organization’s email ONEROOMSCHOOLHOUSE3@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O54 - Youth Development - Citizenship Programs
Organization’s purpose Charitable: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BIRGIT MILLER
Signature Title VICE PRESIDENT & TREASURER
Signature Date 9/24/18

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