FORM 1023-EZ for DEEPER STILL NORTHERN INDIANA

Field Data
EIN 82-5317294
Case Number EO-2018117-000167
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEEPER STILL NORTHERN INDIANA
Organization’s Mailing Address 5805 S 510 E
City WOLCOTTVILLE
State IN
ZIP 46795
Accounting period End 12
Primary contact name ELISA DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELISA DAVIS
PRESIDENT
5805 S 510 E
WOLCOTTVILLE IN 46795

Officer/Director/Trustee Two

BRENDA HARAGUCHI
TREASURER
2724 CREEPING PHLOX COVE
FORT WAYNE IN 46818

Officer/Director/Trustee Three

JILL SONNER
SECRETARY
322 BLUE JACKET RUN
FORT WAYNE IN 46825

Organization’s website
Organization’s email DEEPERSTILNORTHERNINDIANA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
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 ELISA DAVIS
Signature Title PRESIDENT
Signature Date 4/25/18

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