FORM 1023-EZ for A PREFERRED PLACE INC

Field Data
EIN 82-4684428
Case Number EO-2018071-000467
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A PREFERRED PLACE INC
Organization’s Mailing Address 5560 MARTHA ST
City INDIANAPOLIS
State IN
ZIP 46241
Accounting period End 12
Primary contact name SHAWN T COOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN T COOK
PRESIDENT
1450 S BILTMORE AVE
INDIANAPOLIS IN 46241

Officer/Director/Trustee Two

FRANCESCA L COOK
SECRETARY
1450 S BILTMORE AVE
INDIANAPOLIS IN 46241

Officer/Director/Trustee Three

RON STEPHANS
BOARD MEMBER
2681 WILLOW LAKE DRIVE
GREENWOOD IN 46143

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C01 - Alliance/Advocacy Organizations
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 Yes
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 SHAWN T COOK
Signature Title PRESIDENT
Signature Date 3/10/18

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