FORM 1023-EZ for COVENANTER CEMETERY

Field Data
EIN 82-2800119
Case Number EO-2017321-000354
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COVENANTER CEMETERY
Organization’s Mailing Address 700 E RAY CLEAR LAKE ROAD
City FREMONT
State IN
ZIP 46737
Accounting period End 12
Primary contact name ELIZABETH J EICHLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAY E TREDWAY
PRESIDENT
1112 BIRCH STREET
GRANTE QUARRY NC 28146

Officer/Director/Trustee Two

ELIZABETH J EICHLER
TREASURER
204 W TOLEDO ST PO BOX 63
FREMONT IN 46737

Officer/Director/Trustee Three

PAT HELTON
SECRETARY
330 EAST STATE RD 120
FREMONT IN 46737

Officer/Director/Trustee Four

GEORGE BAKER
VICE PRESIDENT
309 E GERALD RD
COLDWATER MI 49036

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2017
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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
Signature Title
Signature Date

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