FORM 1023-EZ for CALUMET ARTIST RESIDENCY INC

Field Data
EIN 47-2864373
Case Number EO-2015344-000355
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CALUMET ARTIST RESIDENCY INC
Organization’s Mailing Address 269 NORTH HANCOCK ST
City GARY
State IN
ZIP 46403-1950
Accounting period End 11
Primary contact name COREY HAGELBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHERINE LAND
PRESIDENT
267 N HANCOCK ST
GARY IN 46403-1950

Officer/Director/Trustee Two

COREY HAGELBERG
VICE-PRESIDENT TREASURER
269 N HANCOCK ST
GARY IN 46403-1950

Officer/Director/Trustee Three

SAMUEL BARNETT
SECRETARY
550 N MONTGOMERY
GARY IN 46403-2167

Organization’s website WWW.CALUMETRESIDENCY.COM
Organization’s email INFO@CALUMETRESIDENCY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2015
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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