FORM 1023-EZ for SECRET FAMILIES OF RANDOLPH COUNTY INC

Field Data
EIN 82-1682036
Case Number EO-2017201-000045
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SECRET FAMILIES OF RANDOLPH COUNTY INC
Organization’s Mailing Address 104 N MAIN ST PO BOX 212
City FARMLAND
State IN
ZIP 47340
Accounting period End 12
Primary contact name ANDREW WAGNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW WAGNER
PRESIDENT
104 N MAIN STREET
FARMLAND IN 47340

Officer/Director/Trustee Two

JEREMY DUNCAN
VICE PRESIDENT
218 N OLIVE ST
FARMLAND IN 47340

Officer/Director/Trustee Three

STEPHANIE BALDWIN
SECRETARY/TREASURER
438 N 625 EAST
UNION CITY IN 47390

Officer/Director/Trustee Four

MATT DECKMAN
DIRECTOR
7776 W 400 NORTH
FARMLAND IN 47340

Officer/Director/Trustee Five

MEEKS COCKERILL
DIRECTOR
102 N EAST ST
WINCHESTER IN 47394

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2017
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
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
Signature Title
Signature Date

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