FORM 1023-EZ for EAGLE POINTE FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 86-1688758 |
| Case Number | EO-2021081-000809 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | EAGLE POINTE FOUNDATION INC |
| Organization’s Mailing Address | 885 S COLLEGE MALL RD 362 |
| City | BLOOMINGTON |
| State | IN |
| ZIP | 47401 |
| Accounting period End | 1 |
| Primary contact name | PETER SAMUELSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PETER SAMUELSON
DIRECTOR AND CHAIRMAN
885 S COLLEGE MALL RD 362
BLOOMINGTON IN 47401
Officer/Director/Trustee Two
DON ARBOGAST
DIRECTOR AND TREASURER
885 S COLLEGE MALL RD 362
BLOOMINGTON IN 47401
Officer/Director/Trustee Three
BILL JONAS
DIRECTOR AND SECRETARY
885 S COLLEGE MALL RD 362
BLOOMINGTON IN 47401
Officer/Director/Trustee Four
ELIZABETH LARSON
DIRECTOR
885 S COLLEGE MALL RD 362
BLOOMINGTON IN 47401
Officer/Director/Trustee Five
JERRY PAGAC
DIRECTOR
885 S COLLEGE MALL RD 362
BLOOMINGTON IN 47401
| Organization’s website | NONE |
|---|---|
| Organization’s email | PETERSAMUELSON1@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/11/2021 |
| Organization Incorporation State | IN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S20 - Community, Neighborhood Development, Improvement (General) |
| 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 | 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 | PETER SAMUELSON |
| Signature Title | DIRECTOR AND CHAIRMAN |
| Signature Date | 1/26/2021 |
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