FORM 1023-EZ for INDIANA HEALTHCARE SUPPLY CHAIN ASSOCIATION

Field Data
EIN 81-1806232
Case Number EO-2016278-000064
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDIANA HEALTHCARE SUPPLY CHAIN ASSOCIATION
Organization’s Mailing Address 201 N ILLINOIS STREET SUITE 1701
City INDIANAPOLIS
State IN
ZIP 46204-4234
Accounting period End 12
Primary contact name TOM JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE KUHN
PRESIDENT
201 N ILLINOIS ST STE 1701
INDIANAPOLIS IN 46204-4234

Officer/Director/Trustee Two

KUMBIA LEWIS
VICE PRESIDENT
201 N ILLINOISSTE 1701
INDIANAPOLIS IN 46204-4234

Officer/Director/Trustee Three

TOM JACKSON
TREASURER
201 N ILLINOIS STE 1701
INDIANAPOLIS IN 46204-4234

Officer/Director/Trustee Four

BRIAN FERRIS
SECRETARY
201 N ILLINOIS STE 1701
INDIANAPOLIS IN 46204-4234

Organization’s website WWW.IHSCA.NET
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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