FORM 1023-EZ for STATION 10 ASSOCIATION INCORPORATED

Field Data
EIN 45-2876322
Case Number EO-2018218-000246
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STATION 10 ASSOCIATION INCORPORATED
Organization’s Mailing Address 7457 S 200 E
City MARKLEVILLE
State IN
ZIP 46056-9650
Accounting period End 12
Primary contact name AMANDA CHAPLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA CHAPLIN
PRESIDENT
7457 S 200 E
MARKLEVILLE IN 46056-9650

Officer/Director/Trustee Two

SHAWNA WALLACE
SECRETARY/TREASURER
7457 S 200 E
MARKLEVILLE IN 46056-9650

Officer/Director/Trustee Three

ASHLEY HEFFERNAN
CO PRESIDENT
7457 S 200 E
MARKLEVILLE IN 46056-9650

Officer/Director/Trustee Four

MISSY BAGIENSKI
VICE PRESIDENT
7457 S 200 E
MARKLEVILLE IN 46056-9650

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/11
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M11 - Single Organization Support
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 No
Correctness Declaration Yes
Signature Name AMANDA CHAPLIN
Signature Title PRESIDENT
Signature Date 8/1/18

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