FORM 1023-EZ for MORGAN COUNTY COMMUNITY ORGANIZATIONS ACTIVE IN DISASTER INC

Field Data
EIN 86-2494875
Case Number EO-2021183-000642
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MORGAN COUNTY COMMUNITY ORGANIZATIONS ACTIVE IN DISASTER INC
Organization’s Mailing Address 1050 LINCOLN HILL RD
City MARTINSVILLE
State IN
ZIP 46151
Accounting period End 12
Primary contact name DALE DEPOY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DALE DEPOY
PRESIDENT
1050 LINCOLN HILL RD
MARTINSVILLE IN 46151

Officer/Director/Trustee Two

TERRY ISOM
VICE PRESIDENT
1050 LINCOLN HILL RD
MARTINSVILLE IN 46151

Officer/Director/Trustee Three

DIANA ROY
SECRETARY TREASURER
1050 LINCOLN HILL RD
MARTINSVILLE IN 46151

Officer/Director/Trustee Four

DAVID ZEMPEL
DIRECTOR
1050 LINCOLN HILL RD
MARTINSVILLE IN 46151

Officer/Director/Trustee Five

STEPHEN WILLIAMS
DIRECTOR
1050 LINCOLN HILL RD
MARTINSVILLE IN 46151

Organization’s website
Organization’s email MTUMEY@MORGANCOUNTY.IN.GOV
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/2021
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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 Yes
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 DALE DEPOY
Signature Title PRESIDENT
Signature Date 6/30/2021

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