FORM 1023-EZ for MICHIANA HOMESCHOOL ATHLETICS

Field Data
EIN 83-2365106
Case Number EO-2018334-000364
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MICHIANA HOMESCHOOL ATHLETICS
Organization’s Mailing Address 25060 COUNTRY WAY
City GOSHEN
State IN
ZIP 46526
Accounting period End 9
Primary contact name JOHN HALLAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN HALLAM
CHAIRMAN
25060 COUNTRY WAY
GOSHEN IN 46526

Officer/Director/Trustee Two

JIM SEIDA
TREASURER
28717 REDFIELD STREET
NILES MI 49120

Officer/Director/Trustee Three

EVA ANDREWS
SECRETARY
69506 CR 3
NAPPANEE IN 46550

Organization’s website WWW.HOMETEAMSONLINE.COM/MHATHUNDER
Organization’s email JOHN.HALLAM@ADS-PIPE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N40 - Sports Training Facilities, Agencies
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 JOHN HALLAM
Signature Title CHAIRMAN
Signature Date 11/28/18

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