FORM 1023-EZ for MICHIANA PARTNERS FOR PARKINSONS CORPORATION

Field Data
EIN 81-1372802
Case Number EO-2016097-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MICHIANA PARTNERS FOR PARKINSONS CORPORATION
Organization’s Mailing Address 50698 STATE ROUTE 933
City SOUTH BEND
State IN
ZIP 46637
Accounting period End 12
Primary contact name DONALD SHELIGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONALD SHELIGA
PRESIDENT
810 SOUTH 36TH STREET
SOUTH BEND IN 46615

Officer/Director/Trustee Two

LINDA SHELIGA
VICE-PRESIDENT
810 SOUTH 36TH STREET
SOUTH BEND IN 46615

Officer/Director/Trustee Three

CAROLE RUFF
SECRETARY
52365 MILL POND RUN COURT
GRANGER IN 46530

Officer/Director/Trustee Four

JACOB ADAMS
TREASURER
3818 CLYDESDALE DRIVE APT 1B
SOUTH BEND IN 46628

Organization’s website HTTP://MICHIANA.RSBAFFILIATE.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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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