FORM 1023-EZ for SCOTT COUNTY HOMELESS COALITION

Field Data
EIN 82-3164690
Case Number EO-2018197-000426
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SCOTT COUNTY HOMELESS COALITION
Organization’s Mailing Address 1438 W MOONGLO RD
City SCOTTSBURG
State IN
ZIP 47170
Accounting period End 1
Primary contact name ATLANTA MEEKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY HOLWAGER
PRESIDENT
1301 W YORK ROAD LOT 47
AUSTIN IN 47102

Officer/Director/Trustee Two

ATLANTA MEEKS
SECRETARY
1438 W MOONGLO RD
SCOTTSBURG IN 47170

Officer/Director/Trustee Three

AMANDA CHANSTEEN
TREASURER
1438 W MOONGLO
SCOTTSBURG IN 47170

Officer/Director/Trustee Four

DAWN GRAFT
TRUSTEE
637 S FIRST ST
SCOTTSBURG IN 47170

Officer/Director/Trustee Five

RICHARD RALEIGH
TRUSTEE
SCOTTSBURG
SCOTTSBURG IN 47170

Organization’s website HTTP://ATL3017.WIXSITE.SOM/SCOTTCOUNTYHOMELESS
Organization’s email ATL@SCOTTCOUNTYHOMELESS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 Yes
Correctness Declaration Yes
Signature Name ATLANTA MEEKS
Signature Title SECRETARY
Signature Date 7/13/18

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