FORM 1023-EZ for URBAN AMERIKA INC

Field Data
EIN 86-1327527
Case Number EO-2021102-001063
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name URBAN AMERIKA INC
Organization’s Mailing Address 5941 E 30TH STREET
City INDIANAPOLIS
State IN
ZIP 46218
Accounting period End 12
Primary contact name WILLIAM KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM KING
PRESIDENT
1550 N ARLINGTON AVE
INDIANAPOLIS IN 46219

Officer/Director/Trustee Two

JENNIFER CHARLESTON
TRESURER
5734 N ATTLEBURG DR
MCCORDSVILLE IN 46055

Officer/Director/Trustee Three

MICHEAL GREENE
SECRETARY
5299 E 38TH ST
INDIANAPOLIS IN 46218

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, 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 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 WILLIAM KING
Signature Title PRESIDENT
Signature Date 4/5/2021

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