FORM 1023-EZ for WAVELAND STRONG INC

Field Data
EIN 81-1590794
Case Number EO-2016060-000343
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WAVELAND STRONG INC
Organization’s Mailing Address 121 W FRANKLIN ST SUITE 400
City ELKHART
State IN
ZIP 46516
Accounting period End 12
Primary contact name TIMOTHY S SHELLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TROY PHILLIPS
PRESIDENT DIRECTOR
402 E GREEN ST
WAVELAND IN 47989

Officer/Director/Trustee Two

RICK PAYNE
DIRECTOR
7293 S 650 W
CRAWFORDSVILLE IN 47933

Officer/Director/Trustee Three

GINA HAILE
SECRETARY DIRECTOR
106 S JACKSON
WAVELAND IN 47989

Officer/Director/Trustee Four

TIMOTHY SHELLY
ASSISTANT SECRETARY
121 W FRANKLIN ST SUITE 400
ELKHART IN 46516

Organization’s website
Organization’s email TSHELLY@WARRICKANDBOYN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
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
Signature Title
Signature Date

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