FORM 1023-EZ for WIDOWS MITE EXPERIENCE - INDIANA

Field Data
EIN 27-1200341
Case Number EO-2018270-000422
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WIDOWS MITE EXPERIENCE - INDIANA
Organization’s Mailing Address 116W 550N
City VALPARAISO
State IN
ZIP 46385-8968
Accounting period End 12
Primary contact name DIANE COOLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANE COOLEY
PRESIDENT
116W 550N
VALPARAISO IN 46385-8968

Officer/Director/Trustee Two

JANET VALPATIC
VICE PRESIDENT
813 PORTAGE AVE
PORTER IN 46304

Officer/Director/Trustee Three

BARBARA GRETTER
SECRETARY/TREASURER
12339 PLYMOUTH-GOSHEN TRAIL
PLYMOUTH IN 46563

Officer/Director/Trustee Four

DARLENE BROWNING
TRUSTEE
7412N 575W
FRANKTON IN 46044

Officer/Director/Trustee Five

DENISE MORLEY
TRUSTEE
140S 100E
VALPARAISO IN 46383

Organization’s website N/A
Organization’s email DIANECOOLEY53@ICLOUD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/09
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 DIANE COOLEY
Signature Title PRESIDENT
Signature Date 9/25/18

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