FORM 1023-EZ for SOUTHERN INDIANA REGIONAL COMMUNITYTENNIS ASSOCIATION

Field Data
EIN 84-4647538
Case Number EO-2020043-000308
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHERN INDIANA REGIONAL COMMUNITYTENNIS ASSOCIATION
Organization’s Mailing Address 6113 APPLELEAF LANE
City SELLERSBURG
State IN
ZIP 47172
Accounting period End 12
Primary contact name ROBERT SUTHERLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT SUTHERLAND
PRESIDENT
6113 APPLELEAF LN
SELLERSBURG IN 47172

Officer/Director/Trustee Two

ROBERT KLEEMAN
VICE PRESIDENT
3369 HIGHLAND DRIVE
FLOYDS KNOBS IN 47119

Officer/Director/Trustee Three

KIMBERLY SUTHERLAND
TREASURER
3212 WYNBROOKE CIRCLE
LOUSIVILLE KY 40241

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N66 - Tennis, Racquet Sports Clubs, Leagues
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBERT SUTHERLAND
Signature Title PRESIDENT
Signature Date 2/10/2020

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