| Field | Data |
|---|---|
| EIN | 83-1039701 |
| Case Number | EO-2018208-000287 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | NORTHEAST INDIANA CISM |
| Organization’s Mailing Address | 14925 GEMINI DR |
| City | HUNTERTOWN |
| State | IN |
| ZIP | 46748 |
| Accounting period End | 12 |
| Primary contact name | PATSY HENDRICKS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
PATSY HENDRICKS
PRESIDENT
14925 GEMINI DR
HUNTERTOWN IN 46748
ROBERT BOREN
TEAM LEADER
909 MISTWILLOW CT
HUNTERTOWN IN 46748
TABITHA PATTEN
SECRETARY
3817 WINGSPREAD COVE
FORT WAYNE IN 46818
JIM NOLL
TREASURER
3915 HUTH DR
FORT WAYNE IN 46804
| Organization’s website | |
|---|---|
| Organization’s email | HENDRICKSPS@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/12/18 |
| Organization Incorporation State | IN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F60 - Counseling, Support Groups |
| 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 | 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 | PATSY HENDRICKS |
| Signature Title | PRESIDENT |
| Signature Date | 7/25/18 |
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