FORM 1023-EZ for SPIRIT OF SOUTHERN INDIANA CORPORATION

Field Data
EIN 81-1947653
Case Number EO-2016139-000459
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPIRIT OF SOUTHERN INDIANA CORPORATION
Organization’s Mailing Address 7011 LINCOLN AVE
City EVANSVILLE
State IN
ZIP 47715
Accounting period End 3
Primary contact name KAREN SHIELDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAREN SHIELDS
PRESIDENT
7011 LINCOLN AVE
EVANSVILLE IN 47715

Officer/Director/Trustee Two

EMILY HEDGES
SECRETARY
3630 FIVE OAKS DR
EVANSVILLE IN 47725

Officer/Director/Trustee Three

KYLE SAWA
TREASURER
329 MAIN ST APT 6D
EVANSVILLE IN 47708

Officer/Director/Trustee Four

KENDRA SCHELLER
DIRECTOR
610 SE RIVERSIDE DR
EVANSVILLE IN 47713

Officer/Director/Trustee Five

DAVID HATFIELD
DIRECTOR
644 S WILLOW RD
EVANSVILLE IN 47714

Organization’s website
Organization’s email SPIRITCHEER@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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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