FORM 1023-EZ for CORY NORMAN ENTERPRISE INC

Field Data
EIN 45-3081821
Case Number EO-2019063-000352
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CORY NORMAN ENTERPRISE INC
Organization’s Mailing Address PO BOX 655
City JEFFERSONVILLE
State IN
ZIP 47131
Accounting period End 12
Primary contact name CORY J NORMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORY NORMAN
CHAIR OF THE BOARD/PRESIDENT
1513 MARLOWE DR B3
CLARKSVILLE IN 47131

Officer/Director/Trustee Two

DEREK HUGHES SR
VICE PRESIDENT
6906 LOY RD
PEKIN IN 47165

Officer/Director/Trustee Three

GERVASIO MITCHELL
SECRETARY
217 FORREST DR
JEFFERSONVILLE IN 47130

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/11
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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 CORY NORMAN
Signature Title CHAIR OF THE BOARD/PRESIDENT
Signature Date 3/1/19

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