FORM 1023-EZ for BELOVED NOT FORGOTTEN INC

Field Data
EIN 81-0955927
Case Number EO-2016013-000500
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELOVED NOT FORGOTTEN INC
Organization’s Mailing Address PO BOX 962
City WARSAW
State IN
ZIP 46581-0962
Accounting period End 12
Primary contact name DAWNNA PLUMMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAWNNA PLUMMER
EXECUTIVE DIRECTOR FOUNDER
2029 DEER TRAIL
WARSAW IN 46580

Officer/Director/Trustee Two

C AUSTIN ROVENSTINE
CHIEF LEGAL ADVISOR
313 S BUFFALO STREET
WARSAW IN 46580

Officer/Director/Trustee Three

KELLY HICKS
SECRETARY TREASURER
313 S BUFFALO STREET
WARSAW IN 46580

Officer/Director/Trustee Four

ANGELYNN TRUEBEDOOR
ADVISOR
PO BOX 962
WARSAW IN 46581-0962

Officer/Director/Trustee Five

LORELEI VERLEE
ADVISOR
PO BOX 962
WARSAW IN 46581-0962

Organization’s website
Organization’s email BELOVEDNOTFORGOTTEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
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
Signature Title
Signature Date

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