FORM 1023-EZ for GIBSON AND WABASH COUNTIES FIL AM GROUP INC

Field Data
EIN 83-2943172
Case Number EO-2021082-000780
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GIBSON AND WABASH COUNTIES FIL AM GROUP INC
Organization’s Mailing Address 319 NORTH EMBREE ST
City PRINCETON
State IN
ZIP 47670
Accounting period End 12
Primary contact name LUCENIA WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUCENIA WILLIAMS
PRESIDENT
319 NORTH EMBREE ST
PRINCETON IN 47670

Officer/Director/Trustee Two

ANALIZA ALVIS
VICE PRESIDENT
612 SOUTH PRINCE ST
PRINCETON IN 47670

Officer/Director/Trustee Three

MERLY ROSS
SECRETARY TREASURER
524 SOUTH HART ST
PRINCETON IN 47670

Officer/Director/Trustee Four

CHRIS MROZ
REGISTERED AGENT
1802 SOUTH MAIN ST
PRINCETON IN 47670

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 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 LUCENIA WILLIAMS
Signature Title PRESIDENT
Signature Date 1/30/2021

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