FORM 1023-EZ for SPEEDWAY POLICE CITIZENS ACADEMY ALUMNI ASSOCIATION

Field Data
EIN 81-1541661
Case Number EO-2016081-000263
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPEEDWAY POLICE CITIZENS ACADEMY ALUMNI ASSOCIATION
Organization’s Mailing Address 1401 NORTH LYNHURST DRIVE
City SPEEDWAY
State IN
ZIP 46224
Accounting period End 12
Primary contact name JAYME GEHRINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EMMANUEL MERCHIERS
PRESIDENT
1401 NORTH LYNHURST DRIVE
SPEEDWAY IN 46224

Officer/Director/Trustee Two

JAYME GEHRINGER
SECRETARY
1401 NORTH LYNHURST DRIVE
SPEEDWAY IN 46224

Officer/Director/Trustee Three

DENNIS ELMORE
VICE PRESIDENT
1401 NORTH LYNHURST DRIVE
SPEEDWAY IN 46224

Officer/Director/Trustee Four

SHIRLEY HERMENDING
TREASURER
1401 NORTH LYNHURST DRIVE
SPEEDWAY IN 46224

Officer/Director/Trustee Five

DANA TAYLOR
BOD MEMBER
1401 NORTH LYNHURST DRIVE
SPEEDWAY IN 46224

Organization’s website SPEEDWAYNEIGHBORHOODWATCH.COM/SPEEDWAY-POLICE-CITIZENS-ACADEMY
Organization’s email SPCAAA@SPEEDWAYNEIGHBORHOODWATCH.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2015
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I60 - Law Enforcement Agencies (Police Departments)
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 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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