FORM 1023-EZ for JEREMIAH 184 CO

Field Data
EIN 82-3132634
Case Number EO-2018150-000238
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEREMIAH 184 CO
Organization’s Mailing Address 13223 BELLSVILLE PIKE
City COLUMBUS
State IN
ZIP 47201-8034
Accounting period End 12
Primary contact name CARMEN LEAH SANDLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC RETRUM
BOARD PRESIDENT
10671 W GRANDVIEW DR
COLUMBUS IN 47201-8697

Officer/Director/Trustee Two

MYRA FOSTER
BOARD VICE PRESIDENT
8282 WOODLAND CREEK DR W
COLUMBUS IN 47201-4038

Officer/Director/Trustee Three

JOHN SANDLIN
BOARD TREASURER, LEAD MECHANIC
13223 BELLSVILLE PIKE
COLUMBUS IN 47201-8034

Officer/Director/Trustee Four

CARMEN SANDLIN
BOARD SECRETARY, CASE MANAGER
13223 BELLSVILLE PIKE
COLUMBUS IN 47201-8034

Organization’s website WWW.JEREMIAH184.ORG
Organization’s email JEREMIAH18FOUR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/17
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 CARMEN SANDLIN
Signature Title BOARD SECRETARY, CASE MANAGER
Signature Date 5/24/18

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