FORM 1023-EZ for COMPASS INTERNATIONAL FAMILY CENTERINC

Field Data
EIN 81-5402800
Case Number EO-2017111-000170
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMPASS INTERNATIONAL FAMILY CENTERINC
Organization’s Mailing Address 2501 EISENHOWER AVENUE
City VALPARAISO
State IN
ZIP 46383-3277
Accounting period End 12
Primary contact name JESSICA BURKMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM BURKMAN
PRESIDENT
2501 EISENHOWER AVENUE
VALPARAISO IN 46383-3277

Officer/Director/Trustee Two

LUCY HRIVNAK
TREASURER
1706 MCCORD ROAD
VALPARAISO IN 46383

Officer/Director/Trustee Three

JON COSTAS
MEMBER
2402 SPYGLASS DRIVE
VALPARAISO IN 46383

Officer/Director/Trustee Four

SALENA ANDERSON
SECRETARY
101-A CCLIR VALPARAISO UNIVERSITY
VALPARAISO IN 46383

Officer/Director/Trustee Five

PERRY RIFFEL
MEMBER
1307 PEACHTREE DRIVE
VALPARAISO IN 46383

Organization’s website WWW.COMPASSIFC.ORG
Organization’s email JBURKMAN@COMPASSIFC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/2017
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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