FORM 1023-EZ for RICE COVENANTER CEMEATARY

Field Data
EIN 86-3602933
Case Number EO-2021125-000067
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RICE COVENANTER CEMEATARY
Organization’s Mailing Address WALNUT RIDGE ROAD
City SALEM
State IN
ZIP 46167
Accounting period End 4
Primary contact name PAMELA S BREEDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAN DAVIS
SECRETARY
4288 N ORCHARD BOWER RD
SALEM IN 46167

Officer/Director/Trustee Two

MORRIS TIPPIN
PRESIDENT
PO BOX 514
MEDORA IN 47260

Officer/Director/Trustee Three

NANCY TIPPIN
VICE PRESIDENT
PO BOX 514
MEDORA IN 47260

Officer/Director/Trustee Four

CAROLYN LINDLEY
TREASURER
4284 N BOWER ORCHARD ROAD
SALEM IN 46167

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/2021
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y50 - Cemeteries, Burial Services
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MORRIS TIPPIN
Signature Title PRESIDENT
Signature Date 5/3/2021

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