FORM 1023-EZ for SOUTHERN INDIANA LUNACHICKS

Field Data
EIN 46-4581088
Case Number EO-2015005-000090
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN INDIANA LUNACHICKS
Organization’s Mailing Address 12409 GREENBRIAR BLVD
City SELLERSBURG
State IN
ZIP 47172
Accounting period End 12
Primary contact name CHRIS HARGETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRIS HARGETT
PRESIDENT/MANAGER
12409 GREENBRIAR BLVD
SELLERSBURG IN 47172

Officer/Director/Trustee Two

JEREMY TOLER
VICE PRESIDENT/COACH
5706 LENTZIER TRACE
JEFFERSONVILLE IN 47130

Officer/Director/Trustee Three

TRENT GENTRY
VICE PRESIDENT/COACH
1841 UTICA PIKE
JEFFERSONVILLE IN 47130

Officer/Director/Trustee Four

MIKE LEDBETTER
VICE PRESIDENT/COACH
5822 PINE STREET
JEFFERSONVILLE IN 47130

Officer/Director/Trustee Five

MANDIE TOLER
TREASURER
5706 LENTZIER TRACE
JEFFERSONVILLE IN 47130

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2014
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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