FORM 1023-EZ for REBEL PAVILION INC

Field Data
EIN 81-2496391
Case Number EO-2018046-000327
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REBEL PAVILION INC
Organization’s Mailing Address 7833 N FAIL ROAD
City LA PORTE
State IN
ZIP 46350
Accounting period End 12
Primary contact name JACQUELINE OHLUND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM OHLUND
CHAIRMAN
7833 N FAIL ROAD
LA PORTE IN 46350

Officer/Director/Trustee Two

JACQUELINE OHLUND
CFO
7833 N FAIL ROAD
LA PORTE IN 46350

Organization’s website THEREBELPAVILION.ORG
Organization’s email THEREBELPAVILION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N69 - Equestrian, Riding
Organization’s purpose Charitable: Yes
Religious: No
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 JACQUELINE OHLUND
Signature Title CFO
Signature Date 2/13/18

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