FORM 1023-EZ for TRI-TOWNSHIP CONSERVATION CLUB

Field Data
EIN 61-1629212
Case Number EO-2020197-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRI-TOWNSHIP CONSERVATION CLUB
Organization’s Mailing Address 2017 STATE ROAD 229
City BATESVILLE
State IN
ZIP 47006
Accounting period End 12
Primary contact name TODD J TEKULVE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEREK LAKER
PRESIDENT
3198 ST RD 229
BATESVILLE IN 47006

Officer/Director/Trustee Two

JASON KUNTZ
VICE PRESIDENT
15120 WOLF CREEK RD
BROOKVILLE IN 47012

Officer/Director/Trustee Three

JAMES MERKEL
TREASURER
2017 STATE ROAD 229
BATESVILE IN 47006

Officer/Director/Trustee Four

BRADLEY NOBBE
SECRETARY
24197 HILLTOP RD
OLDENBURG IN 47036

Officer/Director/Trustee Five

TODD TEKULVE
DIRECTOR
1167 THE PINES
BATESVILLE IN 47006

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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 Yes
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 TODD TEKULVE
Signature Title DIRECTOR
Signature Date 7/13/2020

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